DANIEL ADAM WOOLDRIDGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

ADAM

Last Name

WOOLDRIDGE

Business Name

DANIEL ADAM WOOLDRIDGE MD

Original Issue Date

10/30/2023

Effective Date

10/30/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/30/2023