HALDEN H FORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

HALDEN H

Last Name

FORD

Suffix

Business Name

HALDEN H FORD MD

Original Issue Date

09/09/1994

Effective Date

09/09/1994

Expiration Date

07/31/1999

City

OAK BROOK

State

Zip

60521

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/09/2006