BLAKE PATRICK WOODS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

Title

DMD

First Name

BLAKE

Middle

PATRICK

Last Name

WOODS

Business Name

BLAKE PATRICK WOODS DMD

Original Issue Date

07/16/2024

Effective Date

07/16/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2024