ELAINE E FARRELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065924

License Status

NOT RENEWED

Business

First Name

ELAINE E

Last Name

FARRELL

Suffix

Business Name

ELAINE E FARRELL MD

Original Issue Date

01/18/1983

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017