LISA ELLEN WOODY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

CANCELLED

Business

First Name

LISA

Middle

ELLEN

Last Name

WOODY

Suffix

Business Name

LISA ELLEN WOODY MD

Original Issue Date

06/25/1998

Effective Date

06/25/1998

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008