Michael Johnathan Modica Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125052337

Status

Expired

First issued

June 25, 2007

Expired

June 24, 2008

License holder

Michael Johnathan Modica

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Transitional Year

Current term began

06/25/2007

Other Illinois licenses under this name

• IL
  Michael Johnathan Modica Md

  License 036167651 · Michael Johnathan Modica

  Licensed Physician and Surgeon (Medical Board)
  Active

  Boise, ID

  Expires Jul 31, 2029

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