DANEEN WOODARD EDMOND MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035224

License Status

CANCELLED

Business

Title

First Name

DANEEN

Middle

WOODARD

Last Name

EDMOND

Business Name

DANEEN WOODARD EDMOND MD

Original Issue Date

06/24/1996

Effective Date

06/24/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006