FORREST MORSHA FARR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

First Name

FORREST

Middle

MORSHA

Last Name

FARR

Business Name

FORREST MORSHA FARR

Original Issue Date

12/13/2005

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2024