KIRK J WOODWARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000529

License Status

EXPIRED

Business

First Name

KIRK

Middle

Last Name

WOODWARD

Suffix

Business Name

KIRK J WOODWARD MD

Original Issue Date

09/04/2001

Effective Date

09/04/2001

Expiration Date

10/03/2001

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006