KATHLEEN MARIAN FARRELL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113066

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MARIAN

Last Name

FARRELL

Suffix

Business Name

KATHLEEN MARIAN FARRELL DO

Original Issue Date

02/10/2005

Effective Date

02/10/2005

Expiration Date

07/31/2005

City

STEGER

State

Zip

60475

County

WILL

Ever Disciplined

LastModifiedDate

09/29/2009