WILLIAM WALLACE FORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036019383

License Status

NOT RENEWED

Business

First Name

WILLIAM WALLACE

Last Name

FORD

Suffix

Business Name

WILLIAM WALLACE FORD MD

Original Issue Date

07/21/1932

Effective Date

07/21/1932

City

GREEN BAY

State

Zip

54301

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006