WHITNEY K WOODWARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

NOT RENEWED

Business

First Name

WHITNEY

Middle

Last Name

WOODWARD

Business Name

WHITNEY K WOODWARD

Original Issue Date

05/10/2010

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