GRANT JEFFREY WOODSIDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086652

License Status

ACTIVE

Business

Title

First Name

GRANT

Middle

JEFFREY

Last Name

WOODSIDE

Business Name

GRANT JEFFREY WOODSIDE MD

Original Issue Date

06/25/2025

Effective Date

06/25/2025

Expiration Date

06/24/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/12/2025