SYLVIA H FORD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035524

License Status

EXPIRED

Business

First Name

SYLVIA

Middle

Last Name

FORD

Business Name

SYLVIA H FORD

Original Issue Date

08/22/1996

Effective Date

08/22/1996

Expiration Date

08/19/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

09/22/2006