CHANDA RENEE MAYO-FORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

CHANDA

Middle

RENEE

Last Name

MAYO-FORD

Suffix

Business Name

CHANDA RENEE MAYO-FORD MD

Original Issue Date

05/10/2005

Effective Date

06/09/2011

Expiration Date

07/31/2014

City

OAKBRROK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020