License holder summary

Moody, Douglas-Montgomery Family Medicine is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Moody, Douglas-Montgomery Family Medicine is 11029 Montgomery Rd., Cheryl Shirk, Cincinnati, OH 45249. This licensed professional license is current. The license was granted 04/11/2014 and expired on 01/31/2015.

Ohio

Board of Licensing

Moody, Douglas-Montgomery Family Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.18089-SA
Date granted
04/11/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
11029 Montgomery Rd., Cheryl Shirk, Cincinnati, OH 45249
ohiolicensing.org
ID 29572410
LAST UPDATED 2026-05-21 11:21:12 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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