ANDREW H FORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023707

License Status

EXPIRED

Business

First Name

ANDREW H

Last Name

FORD

Suffix

Business Name

ANDREW H FORD MD

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/30/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006