ANIT D FORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021062

License Status

EXPIRED

Business

First Name

ANIT D

Last Name

FORD

Suffix

Business Name

ANIT D FORD MD

Original Issue Date

05/30/1987

Effective Date

05/30/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006