ORVAL E WOODBURN Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002147

License Status

INACTIVE

Business

First Name

ORVAL E

Last Name

WOODBURN

Business Name

ORVAL E WOODBURN

Original Issue Date

07/17/1952

Effective Date

07/17/1952

Expiration Date

01/31/1999

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/25/2006