GAVIN TODD MOODY - Orthotist, Prosthetist, and Pedorthist License in Missouri | # 211000077

GAVIN TODD MOODY

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000077

License Status

NOT RENEWED

Business

N

First Name

GAVIN

Middle

TODD

Last Name

MOODY

Business Name

GAVIN TODD MOODY

Original Issue Date

01/08/2002

Effective Date

01/08/2002

Expiration Date

09/30/2005

State

MO

Ever Disciplined

N

LastModifiedDate

05/30/2006