MARK E WOODSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079716

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

WOODSON

Suffix

Business Name

MARK E WOODSON MD

Original Issue Date

02/15/1990

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021