License holder summary

MICHAEL DERRICK MOODY is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for MICHAEL DERRICK MOODY is HOUSTON, TX 77054. This licensed professional license is not current. The license was granted 01/31/2001 and expired on 05/31/2006.

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 2026-05-13 11:01:25 UTC

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