IDELLE MAXINE WOODSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149566

License Status

ACTIVE

Business

Title

First Name

IDELLE

Middle

MAXINE

Last Name

WOODSON

Business Name

IDELLE MAXINE WOODSON MD

Original Issue Date

06/06/2019

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/24/2023