CHARLES DAVID WOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

DAVID

Last Name

WOOD

Suffix

Business Name

CHARLES DAVID WOOD MD

Original Issue Date

11/18/2010

Effective Date

11/18/2010

Expiration Date

07/31/2011

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020