C WOODWORTH PARKER DO Medical Doctor License verification

C WOODWORTH PARKER DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079151

License Status

EXPIRED

Business

Title

First Name

Middle

WOODWORTH

Last Name

PARKER

Business Name

C WOODWORTH PARKER DO

Original Issue Date

09/17/2021

Effective Date

09/17/2021

Expiration Date

09/16/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/30/2024

Case Number

2021004296

Action

Probation

Discipline Start Date

09/17/2021

Discipline End Date

09/20/2024

Discipline Reason

temporary medical permit issued and placed on indefinite probation with conditions for a minimum of three years due to an adverse action taken by the Department of the Navy.