JAX LEE WOOD WHITEHEAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

JAX

Middle

LEE WOOD

Last Name

WHITEHEAD

Business Name

JAX LEE WOOD WHITEHEAD MD

Original Issue Date

06/30/2020

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023