CHARLES ANTHONY WOODRIDGE MD Medical Doctor License verification

CHARLES ANTHONY WOODRIDGE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086962

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

ANTHONY

Last Name

WOODRIDGE

Suffix

Business Name

CHARLES ANTHONY WOODRIDGE MD

Original Issue Date

07/26/1993

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

KINTA

State

Zip

74552

Ever Disciplined

LastModifiedDate

05/22/2024

Case Number

2013008698

Action

Suspension

Discipline Start Date

04/16/2014

Discipline End Date

05/19/2024

Discipline Reason

for discipline taken by the US Department of Health and Human Services Office of Inspector General and for his failure to notify IDFPR of that disciplinary action.