License holder summary

TIMOTHY J JOHN STEARNS MOODY is a Board Of Medicine licensed to practice in Idaho. The address on file for TIMOTHY J JOHN STEARNS MOODY is 465 NW Orion Dr Pullman WA 99163. This licensed professional license is not current. The license was granted 04/02/1998 and expired on 06/30/2002.

Idaho

Division of Occupational and Professional Licenses

TIMOTHY J JOHN STEARNS MOODY
Board Of Medicine
License number
M-7456
Date granted
04/02/1998
Date expires
06/30/2002
Class
Board Of Medicine
Status
Canceled
Address
465 NW Orion Dr Pullman WA 99163
idaholicensing.com
ID 48346446
LAST UPDATED 2024-03-21 03:35:16 UTC

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