GAVIN TODD MOODY Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000077

License Status

NOT RENEWED

Business

First Name

GAVIN

Middle

TODD

Last Name

MOODY

Business Name

GAVIN TODD MOODY

Original Issue Date

01/08/2002

Effective Date

01/08/2002

Expiration Date

09/30/2005

City

CLAYTON

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/30/2006