License holder summary

Dr. MUSA MODAD is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MUSA MODAD is 812 E 7TH ST MOSCOW ID 83843. This licensed professional license is current. The license was granted 02/19/2015 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. MUSA MODAD
Board Of Medicine
License number
M-12814
Date granted
02/19/2015
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
812 E 7TH ST MOSCOW ID 83843
idaholicensing.com
ID 48330013
LAST UPDATED 2024-03-28 18:36:58 UTC

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