GAYLE ELLEN WOODSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109522

License Status

NOT RENEWED

Business

First Name

GAYLE

Middle

ELLEN

Last Name

WOODSON

Suffix

Business Name

GAYLE ELLEN WOODSON MD

Original Issue Date

06/24/2003

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017