MENDEL E FORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033841

License Status

EXPIRED

Business

First Name

MENDEL

Middle

Last Name

FORD

Suffix

Business Name

MENDEL E FORD MD

Original Issue Date

07/26/1995

Effective Date

07/26/1995

Expiration Date

07/24/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006