License holder summary

TIMOTHY DAVID FORD is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for TIMOTHY DAVID FORD is FAYETTEVILLE NY 13066. This medical practitioner license is not current. The license was granted 01/03/1996 and expired on 12/31/1998.

Department of State

Board of Medicine

TIMOTHY DAVID FORD
Medical Physician And Surgeon
License number
MD058146L
Date granted
01/03/1996
Date expires
12/31/1998
Class
Medical Physician And Surgeon
Status
Inactive
Address
FAYETTEVILLE NY 13066
medicinepa.com
ID 37610272
LAST UPDATED 2024-03-04 23:51:54 UTC

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