WOODLEY DESIR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

WOODLEY

Last Name

DESIR

Business Name

WOODLEY DESIR MD

Original Issue Date

11/08/2023

Effective Date

11/08/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2023