WHITNEY K WOODWARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003717

License Status

NOT RENEWED

Business

First Name

WHITNEY

Middle

Last Name

WOODWARD

Business Name

WHITNEY K WOODWARD

Original Issue Date

03/31/2010

Effective Date

03/16/2012

Expiration Date

03/01/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/24/2015