ERIC KENNETH WOODARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

KENNETH

Last Name

WOODARD

Suffix

Business Name

ERIC KENNETH WOODARD MD

Original Issue Date

01/28/1999

Effective Date

01/28/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006