Sidney Joseph Modiste
ExpiredCalifornia license A46110
License
- Licensed by
- Medical Board of California
- License number
- A46110
- Status
- Expired (Delinquent)
- First issued
- May 22, 1989
- Expired
- September 30, 2022
- License holder
- Sidney Joseph Modiste
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
3315 Watt Avenue
Sacramento, CA 95821
Sacramento, CA 95821
Sacramento County