PATRICK JOSEPH WOODS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

PATRICK JOSEPH

Last Name

WOODS

Business Name

PATRICK JOSEPH WOODS

Original Issue Date

07/26/1982

Effective Date

09/21/2015

Expiration Date

09/30/2018

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018