License holder summary

DERICK W MOODY is a Board Of Medicine licensed to practice in Idaho. The address on file for DERICK W MOODY is 550 PHEASANT RIDGE DR UNIT B CHUBBUCK ID 83202. This licensed professional license is not current. The license was granted 09/13/2011 and expired on 08/09/2013.

Idaho

Division of Occupational and Professional Licenses

DERICK W MOODY
Board Of Medicine
License number
PAT-920
Date granted
09/13/2011
Date expires
08/09/2013
Class
Board Of Medicine
Status
Expired
Address
550 PHEASANT RIDGE DR UNIT B CHUBBUCK ID 83202
idaholicensing.com
ID 48346443
LAST UPDATED 2024-04-01 20:00:39 UTC

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