BRIAN R WOODY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026471

License Status

EXPIRED

Business

First Name

BRIAN R

Last Name

WOODY

Suffix

Business Name

BRIAN R WOODY MD

Original Issue Date

05/07/1991

Effective Date

05/07/1991

Expiration Date

06/30/1994

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006