License holder summary

JACQUELINE A WOODRUM is a Medical Residency Permit licensed to practice in Indiana. The address on file for JACQUELINE A WOODRUM is Lafayette CO 80026. This licensed professional license is not current. The license was granted 09/09/1994 and expired on 06/21/1997.

Indiana

Professional Licensing Agency

JACQUELINE A WOODRUM
Medical Residency Permit
License number
11007166A
Date granted
09/09/1994
Date expires
06/21/1997
Class
Medical Residency Permit
Status
Expired
Address
Lafayette CO 80026
indianalicensing.org
ID 5986455
LAST UPDATED 2024-02-13 10:16:04 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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