CLAYTON THOMAS FORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

CLAYTON

Middle

THOMAS

Last Name

FORD

Business Name

CLAYTON THOMAS FORD MD

Original Issue Date

11/20/2013

Effective Date

08/11/2020

Expiration Date

07/31/2023

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023