VIRGINIA JANE MOODY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101578

License Status

ACTIVE

Business

First Name

VIRGINIA

Middle

JANE

Last Name

MOODY

Suffix

Business Name

VIRGINIA JANE MOODY MD

Original Issue Date

11/05/1999

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/08/2023