JUSTIN DEAN MOODY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119226

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

DEAN

Last Name

MOODY

Suffix

Business Name

JUSTIN DEAN MOODY DO

Original Issue Date

08/20/2007

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

07/28/2023