CHANDA RENEE MAYO-FORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113369

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

03/30/2005

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

YORKTOWN

State

Zip

23693

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021