Stephanie M Modisett Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****12

Status

Expired

First issued

September 17, 1997

Expired

September 30, 1998

License holder

Stephanie M Modisett Dds

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

II III IV V

Current term began

09/17/1997

Other Illinois licenses under this name

• IL
  Stephanie M Modisett Dds

  License 019024537

  Licensed Dentist (Dental)
  Inactive

  Savannah, GA

  Expired Sep 30, 1998

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