KATHERINE MCALLAN MOODY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002505

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

MCALLAN

Last Name

MOODY

Business Name

KATHERINE MCALLAN MOODY

Original Issue Date

07/19/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

EDEN PRAIRIE

State

Zip

55347

County

MINNESOTA

Ever Disciplined

LastModifiedDate

12/16/2010