MATTHEW LEO WOODHAM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158630

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

LEO

Last Name

WOODHAM

Business Name

MATTHEW LEO WOODHAM DO

Original Issue Date

10/27/2021

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CEDAR RAPIDS

State

Zip

52402

Ever Disciplined

LastModifiedDate

04/09/2023