CARLY R WOODIN MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221881

License Status

NOT RENEWED

Business

Title

First Name

CARLY

Middle

Last Name

WOODIN

Prefix

Business Name

CARLY R WOODIN MD

Original Issue Date

11/11/2013

Effective Date

01/16/2018

Expiration Date

03/31/2019

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/15/2019