DANEEN WOODARD EDMOND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

DANEEN

Middle

WOODARD

Last Name

EDMOND

Business Name

DANEEN WOODARD EDMOND MD

Original Issue Date

06/06/2000

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023