SHAWNEE FARNHAM DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072473

License Status

INACTIVE

Business

First Name

SHAWNEE

Last Name

FARNHAM

Suffix

Business Name

SHAWNEE FARNHAM DO

Original Issue Date

03/27/1986

Effective Date

03/27/1986

Expiration Date

07/31/1996

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

09/20/2006