ANDRIA L FORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144587

License Status

ACTIVE

Business

Title

First Name

ANDRIA

Middle

Last Name

FORD

Business Name

ANDRIA L FORD MD

Original Issue Date

10/30/2017

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/12/2023