KASIMU SENGHOR MOODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114067

License Status

NOT RENEWED

Business

First Name

KASIMU

Middle

SENGHOR

Last Name

MOODY

Suffix

Business Name

KASIMU SENGHOR MOODY MD

Original Issue Date

06/29/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LAFAYETTE

State

Zip

70506

Ever Disciplined

LastModifiedDate

02/29/2012

Case Number

2010008643

Action

Refuse To Renew

Discipline Start Date

01/26/2011

Discipline Reason

after being disciplined by the state of Louisiana.