ROBERT T WOODWARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031237

License Status

EXPIRED

Business

Title

First Name

ROBERT T

Last Name

WOODWARD

Business Name

ROBERT T WOODWARD MD

Original Issue Date

05/18/1994

Effective Date

05/18/1994

Expiration Date

06/30/1997

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006