STUART RICHARD FARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099170

License Status

NOT RENEWED

Business

First Name

STUART

Middle

RICHARD

Last Name

FARRIS

Suffix

Business Name

STUART RICHARD FARRIS MD

Original Issue Date

10/07/1998

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017