MILTON LEONARD FORT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035268

License Status

INACTIVE

Business

First Name

MILTON LEONARD

Last Name

FORT

Suffix

Business Name

MILTON LEONARD FORT MD

Original Issue Date

08/13/1958

Effective Date

08/13/1958

Expiration Date

07/31/1987

City

CHATSWORTH

State

Zip

91311

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006