CARRIE CHRISTEN FORD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086635

License Status

ACTIVE

Business

Title

First Name

CARRIE

Middle

CHRISTEN

Last Name

FORD

Business Name

CARRIE CHRISTEN FORD DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/31/2025