C WOODWORTH PARKER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

Middle

WOODWORTH

Last Name

PARKER

Business Name

C WOODWORTH PARKER DO

Original Issue Date

09/23/2024

Effective Date

09/23/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60634

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024