License holder summary

Shannon L. Moddejonge, D.C. is a Chiropractic Board - Dc.Chiropractic Physician licensed to practice in Ohio. The address on file for Shannon L. Moddejonge, D.C. is Performance Wellness South, 3786 South East Street, Indianapolis, IN 46227. This licensed professional license is not current. The license was granted 01/01/2009 and expired on 03/31/2012.

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 2026-06-04 16:54:11 UTC

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