CHARLES G FARNUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036026194

License Status

INACTIVE

Business

First Name

CHARLES G

Last Name

FARNUM

Suffix

Business Name

CHARLES G FARNUM MD

Original Issue Date

02/15/1945

Effective Date

02/15/1945

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006