CARLY R WOODIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173007

License Status

ACTIVE

Business

Title

First Name

CARLY

Middle

Last Name

WOODIN

Prefix

Business Name

CARLY R WOODIN MD

Original Issue Date

12/10/2024

Effective Date

12/10/2024

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/10/2024