LAURA M MOODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069705

License Status

NOT RENEWED

Business

First Name

LAURA M

Last Name

MOODY

Suffix

Business Name

LAURA M MOODY MD

Original Issue Date

10/17/1984

Effective Date

10/17/1984

Expiration Date

07/31/1987

City

UNIVERSITY CITY

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006