JOSHUA RICHARD FORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064762

License Status

EXPIRED

Business

Title

First Name

JOSHUA

Middle

RICHARD

Last Name

FORD

Business Name

JOSHUA RICHARD FORD MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015