BRUCE ALLEN WOODFORD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096557

License Status

NOT RENEWED

Business

First Name

BRUCE ALLEN

Last Name

WOODFORD

Suffix

Business Name

BRUCE ALLEN WOODFORD DO

Original Issue Date

08/25/1997

Effective Date

08/25/1997

Expiration Date

07/31/2002

City

ANDREWS AFB

State

Zip

20762

County

MARYLAND

Ever Disciplined

LastModifiedDate

10/09/2006