The holder whose full name is MOODY, DAVID LEON,come from Indianapolis IN,hold the Chiro Temporary Permit license(NO.99000167A) which status is Superceded.
Name | MOODY, DAVID LEON |
---|---|
License Number | 99000167A |
License Type | Chiro Temporary Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |