BEVERLY TUCKER WOODSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102380

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

TUCKER

Last Name

WOODSON

Suffix

Business Name

BEVERLY TUCKER WOODSON MD

Original Issue Date

04/28/2000

Effective Date

04/28/2000

Expiration Date

07/31/2002

City

MENOMONEE FALLS

State

Zip

53051

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006