KIMBERLY YVETTE FORD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

YVETTE

Last Name

FORD

Suffix

Business Name

KIMBERLY YVETTE FORD DO

Original Issue Date

09/24/2009

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023