MICHAELLA MARIE FORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****87

License Status

NOT RENEWED

Business

Title

First Name

MICHAELLA

Middle

MARIE

Last Name

FORD

Business Name

MICHAELLA MARIE FORD OD

Original Issue Date

08/18/2023

Effective Date

08/18/2023

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025