JACK LEE FARBER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055253

License Status

NOT RENEWED

Business

First Name

JACK LEE

Last Name

FARBER

Suffix

Business Name

JACK LEE FARBER MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/01/1980

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006