AGNES A WOOD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033216

License Status

EXPIRED

Business

First Name

AGNES

Middle

Last Name

WOOD

Suffix

Business Name

AGNES A WOOD MD

Original Issue Date

06/08/1995

Effective Date

06/08/1995

Expiration Date

06/30/1998

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006