KIMBERLY YVETTE FORD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124222

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

YVETTE

Last Name

FORD

Suffix

Business Name

KIMBERLY YVETTE FORD DO

Original Issue Date

08/13/2009

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/03/2023