ANITA J FLEENOR-FORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029505

License Status

EXPIRED

Business

First Name

ANITA J

Last Name

FLEENOR-FORD

Suffix

Business Name

ANITA J FLEENOR-FORD MD

Original Issue Date

05/07/1993

Effective Date

05/07/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006