GAYLE ELLEN WOODSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

GAYLE

Middle

ELLEN

Last Name

WOODSON

Suffix

Business Name

GAYLE ELLEN WOODSON MD

Original Issue Date

07/02/2003

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017