KATHLEEN SENICA FARRIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015490

License Status

EXPIRED

Business

First Name

KATHLEEN SENICA

Last Name

FARRIS

Suffix

Business Name

KATHLEEN SENICA FARRIS MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

05/02/1985

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006