License holder summary

JACK GARY MODELL is a Medicine - Medical Doctor licensed to practice in Michigan. This medical licensee license is current. The license was granted 07/09/1987 and expired on 01/31/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

JACK GARY MODELL
Medicine - Medical Doctor
License number
4301051948
Date granted
07/09/1987
Date expires
01/31/2017
Class
Medicine - Medical Doctor
Status
Active
Address
michiganmedical.net
ID 38941390
LAST UPDATED 2026-05-28 02:43:30 UTC

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