ANITA J FLEENOR-FORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092999

License Status

ACTIVE

Business

First Name

ANITA J

Last Name

FLEENOR-FORD

Suffix

Business Name

ANITA J FLEENOR-FORD MD

Original Issue Date

05/31/1996

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

PADUCAH

State

Zip

42001

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/10/2023