License holder summary

JENNIFER CHRISTINE MODESTO is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 08/31/2006 and expired on 08/31/2013.

Department of Licensing and Regulatory Affairs

Board of Medicine

JENNIFER CHRISTINE MODESTO
Physicians Assistants - Physician Assistant
License number
5601004881
Date granted
08/31/2006
Date expires
08/31/2013
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39309696
LAST UPDATED 2024-04-11 02:44:36 UTC

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