License holder summary

MODRAK MARY ANNE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for MODRAK MARY ANNE is JOHNSON CITY NY. This doctor license is current. The license was granted 06/24/1985 and expired on 09/30/2015.

New York

Office of the Professions

MODRAK MARY ANNE
Medicine (Physician, Including M Ds & D Os)
License number
162487
Date granted
06/24/1985
Date expires
09/30/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
JOHNSON CITY NY
nymedicine.org
ID 30224078
LAST UPDATED 2026-04-05 18:27:09 UTC

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