JOHN WILLIAM GREY MODICA
License Number: ME142161
Data As Of 7/4/2024
Profession | Medical Doctor |
---|---|
License | ME142161 |
License Status | CLEAR/Active |
License Expiration Date | 1/31/2026 |
License Original Issue Date | 08/13/2019 |
Address of Record | 100 Meadow Lane |
CHARLESTOWN, RI 02813 | |
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
Discipline on File | No |
Public Complaint | No |
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