HONORE WOODSIDE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

HONORE

Last Name

WOODSIDE

Business Name

HONORE WOODSIDE

Original Issue Date

09/15/1987

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2024