ROBERT E FORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017600

License Status

EXPIRED

Business

First Name

ROBERT E

Last Name

FORD

Suffix

Business Name

ROBERT E FORD MD

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

07/01/1986

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006