License holder summary

Edward Louis Modesto is a Dentist licensed to practice in Indiana. The address on file for Edward Louis Modesto is Orland Park IL 60467. This licensed professional license is not current. The license was granted 06/06/1972 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Edward Louis Modesto
Dentist
License number
12006969A
Date granted
06/06/1972
Date expires
03/01/2016
Class
Dentist
Status
Inactive
Address
Orland Park IL 60467
indianalicensing.org
ID 5300946
LAST UPDATED 2024-03-31 09:50:28 UTC

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