LINCOLN E FORD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050361

License Status

INACTIVE

Business

First Name

LINCOLN E

Last Name

FORD

Suffix

Business Name

LINCOLN E FORD MD

Original Issue Date

11/26/1974

Effective Date

11/26/1974

Expiration Date

07/31/1999

City

INDIANAPOLIS

State

Zip

46202

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006