Stephanie M Modisett Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019024537

Status

Inactive

First issued

August 25, 1997

Expired

September 30, 1998

License holder

Stephanie M Modisett Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/25/1997

Other Illinois licenses under this name

• IL
  Stephanie M Modisett Dds

  License 31*****12

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Chicago, IL

  Expired Sep 30, 1998

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