HENRY FORREST WOODWORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

HENRY

Middle

FORREST

Last Name

WOODWORTH

Suffix

Business Name

HENRY FORREST WOODWORTH MD

Original Issue Date

06/06/2017

Effective Date

06/06/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021