DAVID ENNIS WOODRUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040965

License Status

NOT RENEWED

Business

First Name

DAVID ENNIS

Last Name

WOODRUM

Suffix

Business Name

DAVID ENNIS WOODRUM MD

Original Issue Date

05/01/1967

Effective Date

05/01/1967

City

SEATTLE

State

Zip

98115

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006