JULIA ANN FORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

JULIA ANN

Last Name

FORD

Suffix

Business Name

JULIA ANN FORD MD

Original Issue Date

09/24/1981

Effective Date

09/24/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006