GORDON LEE WOODS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

GORDON LEE

Last Name

WOODS

Suffix

Business Name

GORDON LEE WOODS MD

Original Issue Date

05/02/1996

Effective Date

05/02/1996

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006