DONALD CLAYTON FORD DO Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

INOPERATIVE

Business

Title

First Name

DONALD

Middle

CLAYTON

Last Name

FORD

Business Name

DONALD CLAYTON FORD DO

Original Issue Date

05/15/2023

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

JEFFERSON

State

Zip

30549

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023