License holder summary

LUCY ELIZABETH MODAHL is a Board Of Medicine licensed to practice in Idaho. The address on file for LUCY ELIZABETH MODAHL is 2 MARLBOROUGH ST AUCKLAND 1024. This licensed professional license is not current. The license was granted 03/20/2006 and expired on 08/01/2013.

Idaho

Division of Occupational and Professional Licenses

LUCY ELIZABETH MODAHL
Board Of Medicine
License number
M-9541
Date granted
03/20/2006
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
2 MARLBOROUGH ST AUCKLAND 1024
idaholicensing.com
ID 48334728
LAST UPDATED 2024-03-03 01:40:31 UTC

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