DARRELL LEE FORT MD - Medical Doctor License in Kentucky | # 036090339

DARRELL LEE FORT MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090339

License Status

INACTIVE

Business

N

First Name

DARRELL LEE

Last Name

FORT

Suffix

MD

Business Name

DARRELL LEE FORT MD

Original Issue Date

03/13/1995

Effective Date

03/13/1995

Expiration Date

07/31/1999

State

KY

Ever Disciplined

N

LastModifiedDate

03/06/2007