JULIE COLANTONI WOODSIDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

JULIE

Middle

COLANTONI

Last Name

WOODSIDE

Business Name

JULIE COLANTONI WOODSIDE MD

Original Issue Date

03/13/2014

Effective Date

06/13/2014

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017