JAY H WOODLAND MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048398

License Status

EXPIRED

Business

First Name

JAY

Middle

Last Name

WOODLAND

Suffix

Business Name

JAY H WOODLAND MD

Original Issue Date

06/11/2004

Effective Date

06/11/2004

Expiration Date

06/30/2007

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/03/2007