License holder summary

Dr. MICHAEL TERRANCE MODIC is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MICHAEL TERRANCE MODIC is PO Box 27 SEVILLE OH 44273. This licensed professional license is current. The license was granted 06/09/2000 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. MICHAEL TERRANCE MODIC
Board Of Medicine
License number
M-8002
Date granted
06/09/2000
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
PO Box 27 SEVILLE OH 44273
idaholicensing.com
ID 48345278
LAST UPDATED 2024-02-07 14:32:43 UTC

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