VALERIE R WOODRUFF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

VALERIE

Middle

Last Name

WOODRUFF

Business Name

VALERIE R WOODRUFF

Original Issue Date

10/15/1987

Effective Date

10/20/2015

Expiration Date

09/30/2018

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018