MELISSA KATE MODRO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

ACTIVE

Business

First Name

MELISSA

Middle

KATE

Last Name

MODRO

Business Name

MELISSA KATE MODRO

Original Issue Date

12/31/2020

Effective Date

01/29/2026

Expiration Date

03/01/2028

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/29/2026