TIMOTHY JOSEPH FARNUM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108136

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

JOSEPH

Last Name

FARNUM

Suffix

Business Name

TIMOTHY JOSEPH FARNUM DO

Original Issue Date

11/12/2002

Effective Date

11/12/2002

Expiration Date

07/31/2005

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

10/09/2006