License holder summary

Mrs Brooke Modistach is a Health Practitioners - Dental Practitioner licensed to practice in Australia. The address on file for Mrs Brooke Modistach is Elizabeth 5112. This health professional license is current. The license was granted 10/29/2010 and expired on 11/30/2016.

Medical Board of Australia

Health Practitioner Regulation Agency

Mrs Brooke Modistach
Health Practitioners - Dental Practitioner
License number
DEN0001587726
Date granted
10/29/2010
Date expires
11/30/2016
Class
Health Practitioners - Dental Practitioner
Status
Registered
Address
Elizabeth
australiahealth.org
ID 32170033
LAST UPDATED 2024-02-25 15:34:39 UTC

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