CORMAC FARRELLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054341

License Status

EXPIRED

Business

Title

First Name

CORMAC

Last Name

FARRELLY

Business Name

CORMAC FARRELLY MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Cardiovascular Imaging

Ever Disciplined

LastModifiedDate

07/15/2009