LINCOLN C WOODROME DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

LINCOLN C

Last Name

WOODROME

Suffix

DMD

Business Name

LINCOLN C WOODROME DMD

Original Issue Date

08/27/1996

Effective Date

09/07/2024

Expiration Date

09/30/2027

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/07/2024