JAMES M FORDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105817

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

FORDE

Suffix

Business Name

JAMES M FORDE MD

Original Issue Date

11/08/2001

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014