CATHERINE ELLEN FORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143066

License Status

ACTIVE

Business

Title

First Name

CATHERINE

Middle

ELLEN

Last Name

FORD

Business Name

CATHERINE ELLEN FORD MD

Original Issue Date

04/25/2017

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

06/17/2023