License holder summary

DEVAYANI SHANKAR MODAK is a Dietitian-Nutritionist (Licensed Dietitian/Nutritionist) licensed to practice in Pennsylvania. The address on file for DEVAYANI SHANKAR MODAK is Allentown PA 18104. This licensed professional license is not current. The license was granted 06/02/2003 and expired on 09/30/2014.

Pennsylvania

Department of State

DEVAYANI SHANKAR MODAK
Dietitian-Nutritionist (Licensed Dietitian/Nutritionist)
License number
DN000721
Date granted
06/02/2003
Date expires
09/30/2014
Class
Dietitian-Nutritionist (Licensed Dietitian/Nutritionist)
Status
Expired
Address
Allentown PA 18104
palicensing.org
ID 16675769
LAST UPDATED 2024-03-26 14:34:20 UTC

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