ELIZABETH DAWN WOODWARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051940

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

DAWN

Last Name

WOODWARD

Business Name

ELIZABETH DAWN WOODWARD MD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/19/2011