CHARLES DERRICK FARWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166910

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

DERRICK

Last Name

FARWELL

Business Name

CHARLES DERRICK FARWELL MD

Original Issue Date

09/07/2023

Effective Date

09/07/2023

Expiration Date

07/31/2026

City

SAN DIEGO

State

Zip

92123

Ever Disciplined

LastModifiedDate

11/24/2025