STACIE ANN MOOSE
Medical Board - 33.Lmt L M Group
Ohio 33.007824-L-M Inactive
This Ohio license was held by STACIE ANN MOOSE. The license is no longer active. It was granted on 01/16/1998 and expired on 08/31/2005
LICENSE DETAILS
- License Number: 33.007824-L-M
- Category: 33.LMT - L-M group
- Status: Inactive
- Date Granted: 01/16/1998 (over 27 years ago)
- Expiry Date: 08/31/2005 (almost 20 years ago)
LOCATIONS
A Residence Address
COLUMBUS, OH 43228-3117