Utah
Division of Occupational and Professional Licensing
MICHAEL DERRICK MOODY
Dental - Dentist Anesthesia Class Ii Permit
License number
4868775-9922
Date granted
01/31/2001
Date expires
05/31/2006
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Expired
Address
HOUSTON, TX 77054
utahlicensing.org
ID 29718856
LAST UPDATED 2024-04-06 03:02:33 UTC
LAST UPDATED 2024-04-06 03:02:33 UTC
This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.