LAUREN MARIE FORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062962

License Status

EXPIRED

Business

First Name

LAUREN

Middle

MARIE

Last Name

FORD

Suffix

Business Name

LAUREN MARIE FORD MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/16/2016