KELLY H WOODWARD DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073684

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

WOODWARD

Suffix

Business Name

KELLY H WOODWARD DO

Original Issue Date

09/08/1986

Effective Date

08/11/2011

Expiration Date

07/31/2014

City

ALEXANDRIA

State

Zip

22308

County

VIRGINIA

Ever Disciplined

LastModifiedDate

04/08/2014