The holder whose full name is Moody, Joseph Clay,come from Fowler IN,hold the CSR-Physician license(NO.01052363D) which status is Active.
| Name | Moody, Joseph Clay |
|---|---|
| License Number | 01052363D |
| License Type | CSR-Physician |
| License Status | Active |
| City | Fowler |
| State | IN |