ERNEST WILBUR FORDHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037358

License Status

NOT RENEWED

Business

First Name

ERNEST WILBUR

Last Name

FORDHAM

Suffix

Business Name

ERNEST WILBUR FORDHAM MD

Original Issue Date

09/18/1961

Effective Date

09/18/1961

Expiration Date

07/31/1999

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006