MICHAEL RYAN DOUGLAS FARRELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067321

License Status

EXPIRED

Business

Title

First Name

MICHAEL RYAN

Middle

DOUGLAS

Last Name

FARRELL

Business Name

MICHAEL RYAN DOUGLAS FARRELL MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

11/19/2020