CHANDA RENEE MAYO-FORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000648

License Status

EXPIRED

Business

First Name

CHANDA

Middle

RENEE

Last Name

MAYO-FORD

Suffix

Business Name

CHANDA RENEE MAYO-FORD MD

Original Issue Date

03/01/2005

Effective Date

03/01/2005

Expiration Date

03/31/2005

City

YORKTOWN

State

Zip

23693

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/25/2006