WILLIAM BRAD FARRIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067332

License Status

EXPIRED

Business

Title

First Name

WILLIAM

Middle

BRAD

Last Name

FARRIS

Business Name

WILLIAM BRAD FARRIS MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/25/2018