AGNES A WOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

AGNES

Middle

Last Name

WOOD

Suffix

Business Name

AGNES A WOOD MD

Original Issue Date

05/28/1998

Effective Date

06/09/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021