VICKY LYNN MOODY
Controlled Substance Registration-Osteopathic Physician
Indiana 02001019B Expired
This Indiana license was held by VICKY LYNN MOODY. The license is no longer active. It was granted on 06/07/1988 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 02001019B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 06/07/1988 (almost 37 years ago)
- Expiry Date: 06/30/1999 (almost 26 years ago)
LOCATIONS
A Address
OAKLAWN CENTER, 2600 OAKLAND AVENUE, ELKHART IN 46517