License holder summary

Vicki E Modest is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Vicki E Modest is 55 Fruit Street, Boston 02114. This licensed professional license is current. The license was granted 12/11/1996 and expired on 05/17/2017.

Massachusetts

Division of Professional Licensure

Vicki E Modest
Board Of Registration In Medicine
License number
153069
Date granted
12/11/1996
Date expires
05/17/2017
Class
Board Of Registration In Medicine
Status
Active
Address
55 Fruit Street
licensingma.org
ID 41457770
LAST UPDATED 2024-02-12 15:14:19 UTC

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