License holder summary

JENNIFER MODRAK is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for JENNIFER MODRAK is HARRISBURG PA 17101. This licensed professional license is not current. The license was granted 02/04/2000 and expired on 03/31/2001.

Pennsylvania

Department of State

JENNIFER MODRAK
Dentistry - Anesthesia Permit - Restricted II
License number
DN031120A
Date granted
02/04/2000
Date expires
03/31/2001
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Expired
Address
HARRISBURG PA 17101
palicensing.org
ID 16534884
LAST UPDATED 2024-04-16 02:44:58 UTC

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