License holder summary

ALAN KEITH FORD is a Board Of Medicine licensed to practice in Idaho. The address on file for ALAN KEITH FORD is 598 Crestline Circle Dr Lewiston ID 83501. This licensed professional license is current. The license was granted 12/08/1987 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

ALAN KEITH FORD
Board Of Medicine
License number
M-5314
Date granted
12/08/1987
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
598 Crestline Circle Dr Lewiston ID 83501
idaholicensing.com
ID 48350125
LAST UPDATED 2024-04-23 10:24:11 UTC

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