KATHLEEN MILITEL WOODRUFF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

KATHLEEN MILITEL

Last Name

WOODRUFF

Business Name

KATHLEEN MILITEL WOODRUFF

Original Issue Date

09/02/1982

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022