CHARLES RAYMOND FARRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038915

License Status

NOT RENEWED

Business

First Name

CHARLES RAYMOND

Last Name

FARRA

Suffix

Business Name

CHARLES RAYMOND FARRA MD

Original Issue Date

02/14/1964

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014