CHARLES STANLEY MODLIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170017

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

STANLEY

Last Name

MODLIN

Business Name

CHARLES STANLEY MODLIN MD

Original Issue Date

04/26/2024

Effective Date

04/26/2024

Expiration Date

07/31/2026

City

SHAKER HEIGHTS

State

Zip

44122

Ever Disciplined

LastModifiedDate

04/26/2024