Montana
Department of Labor and Industry
MICHAEL MODIC
Medical Examiners - Medical Doctor
License number
MED-PHYS-LIC-10100
Date granted
06/04/2002
Date expires
03/31/2016
Class
Medical Examiners - Medical Doctor
Status
Suspended
Address
SEVILLE OH 44273
licensingmt.com
ID 20286279
LAST UPDATED 2024-01-13 08:10:58 UTC
LAST UPDATED 2024-01-13 08:10:58 UTC
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