THEODORE R FORD MD - Medical Doctor License in Oregon | # 036086055

THEODORE R FORD MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086055

License Status

INACTIVE

Business

N

First Name

THEODORE R

Last Name

FORD

Suffix

MD

Business Name

THEODORE R FORD MD

Original Issue Date

05/17/1993

Effective Date

05/17/1993

Expiration Date

07/31/1996

State

OR

Ever Disciplined

N

LastModifiedDate

09/20/2006