LA MAR R FORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067648

License Status

NOT RENEWED

Business

First Name

LA MAR R

Last Name

FORD

Suffix

Business Name

LA MAR R FORD MD

Original Issue Date

09/28/1983

Effective Date

09/28/1983

Expiration Date

07/31/2002

City

INDIANAPOLIS

State

Zip

46268

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006