RUSSELL JAMES WOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

RUSSELL JAMES

Last Name

WOOD

Suffix

Business Name

RUSSELL JAMES WOOD MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

WOODRIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006