NANCY M GOODWINE-WOZNIAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

Last Name

GOODWINE-WOZNIAK

Suffix

Business Name

NANCY M GOODWINE-WOZNIAK MD

Original Issue Date

05/25/2004

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017