EDWARD BRIDGES MOODY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100284

License Status

ACTIVE

Business

First Name

EDWARD

Middle

BRIDGES

Last Name

MOODY

Suffix

Business Name

EDWARD BRIDGES MOODY MD

Original Issue Date

06/01/1999

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

04/06/2023