KELLY ANN WOOD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051573

License Status

EXPIRED

Business

First Name

KELLY

Middle

ANN

Last Name

WOOD

Suffix

Business Name

KELLY ANN WOOD MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

COLUMBIA

State

Zip

62236

County

MONROE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009