CHRISTINE MARY HARTFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

MARY

Last Name

HARTFORD

Suffix

Business Name

CHRISTINE MARY HARTFORD MD

Original Issue Date

06/19/2006

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011