NANCY M GOODWINE-WOZNIAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106701

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

Last Name

GOODWINE-WOZNIAK

Suffix

Business Name

NANCY M GOODWINE-WOZNIAK MD

Original Issue Date

04/04/2002

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017