JAMES K FORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

JAMES K

Last Name

FORD

Suffix

Business Name

JAMES K FORD MD

Original Issue Date

06/25/2003

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014