CHARLES ANTHONY WOODRIDGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

ANTHONY

Last Name

WOODRIDGE

Suffix

Business Name

CHARLES ANTHONY WOODRIDGE MD

Original Issue Date

08/26/1993

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014