MARIA M WOOD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****07

License Status

INOPERATIVE

Business

First Name

MARIA

Middle

Last Name

WOOD

Business Name

MARIA M WOOD

Original Issue Date

05/23/2012

Effective Date

03/09/2018

Expiration Date

03/01/2020

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

12/18/2019