Richard Duane Ford Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019012476

Status

Inactive

First issued

July 14, 1964

Expired

September 30, 2004

License holder

Richard Duane Ford Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

07/14/1964

Other Illinois licenses under this name

• IL
  Richard Duane Ford Dds

  License 31*****39

  Licensed Dentist Controlled Substance (Dental)
  Inactive

  Decatur, IL

  Expired Sep 30, 2004

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