WOODSON CAROL FULLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039783

License Status

NOT RENEWED

Business

First Name

WOODSON CAROL

Last Name

FULLER

Suffix

Business Name

WOODSON CAROL FULLER MD

Original Issue Date

07/01/1965

Effective Date

06/02/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023