License holder summary

MICHAEL T MODIC is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for MICHAEL T MODIC is SEVILLE VILLAGE OH 44273. This medical practitioner license is current. The license was granted 02/18/1998 and expired on 12/31/2016.

Department of State

Board of Medicine

MICHAEL T MODIC
Medical Physician And Surgeon
License number
MD064007L
Date granted
02/18/1998
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
SEVILLE VILLAGE OH 44273
medicinepa.com
ID 37647223
LAST UPDATED 2024-03-13 18:02:31 UTC

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