BRITTANY J WOLD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062541

License Status

CANCELLED

Business

Title

First Name

BRITTANY

Middle

Last Name

WOLD

Business Name

BRITTANY J WOLD MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2016

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014