ROBERT JON WOOD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000179

License Status

EXPIRED

Business

First Name

ROBERT

Middle

JON

Last Name

WOOD

Suffix

Business Name

ROBERT JON WOOD MD

Original Issue Date

11/06/2002

Effective Date

11/06/2002

Expiration Date

05/24/2003

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/23/2006