IRIS M FORD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081804

License Status

NOT RENEWED

Business

First Name

IRIS

Middle

Last Name

FORD

Suffix

Business Name

IRIS M FORD DO

Original Issue Date

11/09/1990

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

11/17/2014