RICHARD DUANE FORD DDS
Licensed Dentist Controlled Substance
Illinois 319003039 Canceled
This Illinois license was held by RICHARD DUANE FORD DDS. The license is no longer active. It was granted on 01/01/1998 and expired on 09/30/2004
LICENSE DETAILS
- License Number: 319003039
- Category: LICENSED DENTIST CONTROLLED SUBSTANCE
- Status: Canceled
- Date Granted: 01/01/1998 (over 26 years ago)
- Expiry Date: 09/30/2004 (over 19 years ago)
LOCATIONS
A Address
DECATUR, IL 62522