ANIT D FORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078635

License Status

NOT RENEWED

Business

First Name

ANIT D

Last Name

FORD

Suffix

Business Name

ANIT D FORD MD

Original Issue Date

05/23/1989

Effective Date

06/19/2014

Expiration Date

07/31/2017

City

SARASOTA

State

Zip

34231

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

1989005745

Action

Probation

Discipline Start Date

05/19/1989

Discipline End Date

03/19/1990