Wisconsin
Department of Safety and Professional Services
Modak, Marilyn S
Physician Assistant
License number
1025-23
Date granted
04/10/1998
Date expires
10/31/1999
Class
Physician Assistant
Status
Expired
wisconsinlicensing.org
ID 35631096
LAST UPDATED 2024-04-26 04:53:00 UTC
LAST UPDATED 2024-04-26 04:53:00 UTC
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