MAYYA WOODALL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

MAYYA

Last Name

WOODALL

Business Name

MAYYA WOODALL

Original Issue Date

06/21/2016

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025