WILLIAM FORD QUIRK JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

FORD

Last Name

QUIRK

Suffix

Business Name

WILLIAM FORD QUIRK JR MD

Original Issue Date

01/14/2020

Effective Date

01/14/2020

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021