EARL S FORD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072009

License Status

INACTIVE

Business

First Name

EARL S

Last Name

FORD

Suffix

Business Name

EARL S FORD MD

Original Issue Date

11/22/1985

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

ATLANTA

State

Zip

30345

County

GEORGIA

Ever Disciplined

LastModifiedDate

04/07/2011