MICHELLE SARAH MODAFF DDS - Dentist License in Illinois | # 019025256

MICHELLE SARAH MODAFF DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025256

License Status

INACTIVE

Business

N

First Name

MICHELLE

Middle

SARAH

Last Name

MODAFF

Suffix

DDS

Business Name

MICHELLE SARAH MODAFF DDS

Original Issue Date

05/04/2000

Effective Date

09/28/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2012