MARY ELLA BLAIR WOOD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077197

License Status

EXPIRED

Business

Title

First Name

MARY ELLA

Middle

BLAIR

Last Name

WOOD

Business Name

MARY ELLA BLAIR WOOD DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/06/2024