ROBERT E FORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072226

License Status

NOT RENEWED

Business

First Name

ROBERT E

Last Name

FORD

Suffix

Business Name

ROBERT E FORD MD

Original Issue Date

01/14/1986

Effective Date

01/14/1986

Expiration Date

07/31/1996

City

BRADENTON

State

Zip

34207

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006