STEPHANIE MODERT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175607

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Last Name

MODERT

Business Name

STEPHANIE MODERT DO

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

06/13/2025