John Edward Modestow Dds
ExpiredIllinois license 019011140
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019011140
- Status
- Expired (Not Renewed)
- First issued
- August 28, 1957
- Expired
- September 30, 1996
- License holder
- John Edward Modestow Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/28/1957
Contact
Florence, MA 01060
Massachusetts County