AMANDA M WOODWORTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053750

License Status

EXPIRED

Business

First Name

AMANDA

Middle

Last Name

WOODWORTH

Suffix

Business Name

AMANDA M WOODWORTH MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/31/2008