DORIS ELAINE FORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040427

License Status

EXPIRED

Business

First Name

DORIS

Middle

ELAINE

Last Name

FORD

Suffix

Business Name

DORIS ELAINE FORD MD

Original Issue Date

07/19/1999

Effective Date

07/19/1999

Expiration Date

07/18/2002

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006