BRUCE ALLEN WOODFORD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035432

License Status

EXPIRED

Business

First Name

BRUCE ALLEN

Last Name

WOODFORD

Suffix

Business Name

BRUCE ALLEN WOODFORD DO

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

08/18/1998

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006