MOODY M WASIF DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028212

License Status

ACTIVE

Business

Title

DMD

First Name

MOODY

Middle

Last Name

WASIF

Business Name

MOODY M WASIF DMD

Original Issue Date

03/08/2010

Effective Date

07/18/2024

Expiration Date

09/30/2027

City

DYER

State

Zip

46311

Ever Disciplined

LastModifiedDate

07/18/2024