DONALD R FORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047661

License Status

ACTIVE

Business

First Name

DONALD R

Last Name

FORD

Suffix

Business Name

DONALD R FORD MD

Original Issue Date

08/17/1973

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

07/06/2023