The holder whose full name is MOODY, CARROLL LEE,come from FORT LAUDERDALE FL,hold the Physician license(NO.01023221A) which status is Expired Non-Renewable.
| Name | MOODY, CARROLL LEE |
|---|---|
| License Number | 01023221A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FORT LAUDERDALE |
| State | FL |