VIRGINIA JANE MOODY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

INACTIVE

Business

First Name

VIRGINIA

Middle

JANE

Last Name

MOODY

Suffix

Business Name

VIRGINIA JANE MOODY MD

Original Issue Date

06/05/2000

Effective Date

04/27/2020

Expiration Date

07/31/2023

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2020