License holder summary

Marilyn S Modak is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Marilyn S Modak is 4299 McDonald Drive N, Stillwater, MN 55082. This licensed professional license is not current. The license was granted 07/01/1988 and expired on 06/30/2000.

Minnesota

Department of Labor and Industry

Marilyn S Modak
Medical - Physician Assistant
License number
8871
Date granted
07/01/1988
Date expires
06/30/2000
Class
Medical - Physician Assistant
Status
Canceled
Address
4299 McDonald Drive N, Stillwater, MN 55082
mnlicensing.org
ID 22353041
LAST UPDATED 2024-04-08 07:21:05 UTC

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