License holder summary

BRIAN DAVID MODENA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for BRIAN DAVID MODENA is San Diego CA 92101. This medical practitioner license is not current. The license was granted 05/04/2012 and expired on 06/30/2014.

Department of State

Board of Medicine

BRIAN DAVID MODENA
Graduate Medical Trainee
License number
MT201451
Date granted
05/04/2012
Date expires
06/30/2014
Class
Graduate Medical Trainee
Status
Inactive
Address
San Diego CA 92101
medicinepa.com
ID 37553238
LAST UPDATED 2024-04-05 06:39:32 UTC

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