JACQUELINE ANNE WOODRUM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093608

License Status

NOT RENEWED

Business

First Name

JACQUELINE ANNE

Last Name

WOODRUM

Suffix

Business Name

JACQUELINE ANNE WOODRUM DO

Original Issue Date

07/16/1996

Effective Date

07/16/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/17/2012