ALYSSA JUSTINE WOOD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

ALYSSA

Middle

JUSTINE

Last Name

WOOD

Business Name

ALYSSA JUSTINE WOOD DO

Original Issue Date

07/01/2022

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023