EARL S FORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016923

License Status

EXPIRED

Business

First Name

EARL S

Last Name

FORD

Suffix

Business Name

EARL S FORD MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

07/01/1986

City

ATLANTA

State

Zip

30345

County

GEORGIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006