License holder summary

JACKSON W MODISETT is a Physician licensed to practice in Indiana. The address on file for JACKSON W MODISETT is MADISON IN 47250. This licensed professional license is not current. The license was granted 07/11/1944 and expired on 06/30/1978.

Indiana

Professional Licensing Agency

JACKSON W MODISETT
Physician
License number
01014549A
Date granted
07/11/1944
Date expires
06/30/1978
Class
Physician
Status
Expired Non-Renewable
Address
MADISON IN 47250
indianalicensing.org
ID 6073515
LAST UPDATED 2024-03-31 19:53:55 UTC

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