KATHLEEN MARIAN FARRELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046638

License Status

EXPIRED

Business

First Name

KATHLEEN

Middle

MARIAN

Last Name

FARRELL

Suffix

Business Name

KATHLEEN MARIAN FARRELL DO

Original Issue Date

07/14/2003

Effective Date

07/14/2003

Expiration Date

07/13/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006