IDELLE MAXINE WOODSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058642

License Status

EXPIRED

Business

Title

First Name

IDELLE

Middle

MAXINE

Last Name

WOODSON

Business Name

IDELLE MAXINE WOODSON MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2013

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013