BRADLEY D WOOD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020823

License Status

EXPIRED

Business

First Name

BRADLEY D

Last Name

WOOD

Business Name

BRADLEY D WOOD

Original Issue Date

05/13/1987

Effective Date

05/13/1987

Expiration Date

07/01/1990

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006