MARIA M WOOD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004321

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

Last Name

WOOD

Business Name

MARIA M WOOD

Original Issue Date

04/10/2012

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

11/24/2020