MICHAEL DERRICK MOODY
Dental - Dentist Controlled Substance
Utah 4868775-8903 Expired
This Utah license was held by MICHAEL DERRICK MOODY. The license is no longer active. It was granted on 01/31/2001 and expired on 05/31/2004
LICENSE DETAILS
- License Number: 4868775-8903
- Category: DENTIST CONTROLLED SUBSTANCE
- Status: Expired
- Date Granted: 01/31/2001 (about 24 years ago)
- Expiry Date: 05/31/2004 (almost 21 years ago)
LOCATIONS
A Address
HOUSTON, TX 77054