KELLY ANN WOOD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

WOOD

Suffix

Business Name

KELLY ANN WOOD MD

Original Issue Date

05/19/2009

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

COLUMBIA

State

Zip

62236

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/29/2024