BEVERLY TUCKER WOODSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

TUCKER

Last Name

WOODSON

Suffix

Business Name

BEVERLY TUCKER WOODSON MD

Original Issue Date

05/02/2000

Effective Date

05/02/2000

Expiration Date

07/31/2002

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006