Ohio
Board of Licensing
Shannon L. Moddejonge, D.C.
Chiropractic Board - Dc.Chiropractic Physician
License number
DC.3943
Date granted
01/01/2009
Date expires
03/31/2012
Class
Chiropractic Board - Dc.Chiropractic Physician
Status
Forfeited
Address
Performance Wellness South, 3786 South East Street, Indianapolis, IN 46227
ohiolicensing.org
ID 29321345
LAST UPDATED 2024-01-30 17:05:10 UTC
LAST UPDATED 2024-01-30 17:05:10 UTC