License holder summary

Marcella Modisett is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Marcella Modisett is 722 MAIN ST, MADISON IN 47250. This licensed professional license is not current. The license was granted 02/28/1984 and expired on 02/28/1985.

Indiana

Professional Licensing Agency

Marcella Modisett
Controlled Substance Registration - Physician
License number
01014353B
Date granted
02/28/1984
Date expires
02/28/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
722 MAIN ST, MADISON IN 47250
indianalicensing.org
ID 5886993
LAST UPDATED 2024-03-20 08:28:10 UTC

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