SHAWNEE FARNHAM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017387

License Status

EXPIRED

Business

First Name

SHAWNEE

Last Name

FARNHAM

Suffix

Business Name

SHAWNEE FARNHAM DO

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006