DONALD CLAYTON FORD DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164442

License Status

INACTIVE

Business

Title

First Name

DONALD

Middle

CLAYTON

Last Name

FORD

Business Name

DONALD CLAYTON FORD DO

Original Issue Date

04/19/2023

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

JEFFERSON

State

Zip

30549

County

JACKSON

Ever Disciplined

LastModifiedDate

04/19/2023