CHARLES D FORD MD - Medical Doctor License in Wyoming | # 036072043

CHARLES D FORD MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072043

License Status

INACTIVE

Business

N

First Name

CHARLES D

Last Name

FORD

Suffix

MD

Business Name

CHARLES D FORD MD

Original Issue Date

11/22/1985

Effective Date

11/22/1985

Expiration Date

07/31/1987

State

WY

Ever Disciplined

N

LastModifiedDate

09/20/2006