JONATHAN DALE WOOLERY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

DALE

Last Name

WOOLERY

Business Name

JONATHAN DALE WOOLERY MD

Original Issue Date

07/10/2014

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GRAND TERRACE

State

Zip

92313

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023