ANITA J FLEENOR-FORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

ANITA J

Last Name

FLEENOR-FORD

Suffix

Business Name

ANITA J FLEENOR-FORD MD

Original Issue Date

06/04/1996

Effective Date

06/04/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020