JACQUELINE ANNE WOODRUM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031153

License Status

EXPIRED

Business

First Name

JACQUELINE ANNE

Last Name

WOODRUM

Suffix

Business Name

JACQUELINE ANNE WOODRUM DO

Original Issue Date

05/13/1994

Effective Date

05/13/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006