NICHOLAS ANDREW WOODFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122270

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

ANDREW

Last Name

WOODFORD

Suffix

Business Name

NICHOLAS ANDREW WOODFORD MD

Original Issue Date

12/02/2008

Effective Date

12/02/2008

Expiration Date

07/31/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011