NICHOLAS ANDREW WOODFORD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053177

License Status

CANCELLED

Business

First Name

NICHOLAS

Middle

ANDREW

Last Name

WOODFORD

Suffix

Business Name

NICHOLAS ANDREW WOODFORD MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/15/2007