PATRICK MICHAEL FARROW Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

PATRICK

Middle

MICHAEL

Last Name

FARROW

Business Name

PATRICK MICHAEL FARROW

Original Issue Date

07/15/2015

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2024