ANITA J FLEENOR-FORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

ANITA J

Last Name

FLEENOR-FORD

Suffix

Business Name

ANITA J FLEENOR-FORD MD

Original Issue Date

07/10/2003

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

PADUCAH

State

Zip

42002

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023