Melissa L Moddrell

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085002953

Status

Expired (Not Renewed)

First issued

March 19, 2007

Expired

March 1, 2022

License holder

Melissa L Moddrell

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

01/07/2020

Other Illinois licenses under this name

• IL
  Melissa L Moddrell

  License 38*****27

  Physician Assistant Controlled Substance
  Expired

  Chicago, IL

  Expired Mar 1, 2022

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