JOHN WILLIAM WOODWARD JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050216

License Status

EXPIRED

Business

Title

First Name

JOHN

Middle

WILLIAM

Last Name

WOODWARD

Suffix

Business Name

JOHN WILLIAM WOODWARD JR MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008