C WOODWORTH PARKER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172111

License Status

ACTIVE

Business

Title

First Name

Middle

WOODWORTH

Last Name

PARKER

Business Name

C WOODWORTH PARKER DO

Original Issue Date

09/23/2024

Effective Date

09/23/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2024