DONALD R FORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

DONALD R

Last Name

FORD

Suffix

Business Name

DONALD R FORD MD

Original Issue Date

08/26/1987

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

COLONA

State

Zip

61241

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023