CHARLES ANTHONY WOODRIDGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025898

License Status

EXPIRED

Business

First Name

CHARLES

Middle

ANTHONY

Last Name

WOODRIDGE

Suffix

Business Name

CHARLES ANTHONY WOODRIDGE MD

Original Issue Date

07/13/1990

Effective Date

07/13/1990

Expiration Date

07/09/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006