QEENA C WOODARD DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

QEENA

Middle

Last Name

WOODARD

Suffix

DPM

Business Name

QEENA C WOODARD DPM

Original Issue Date

06/07/2006

Effective Date

06/07/2006

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007