PATRICK DUNLEAVY FARRELL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069142

License Status

CANCELLED

Business

Title

First Name

PATRICK

Middle

DUNLEAVY

Last Name

FARRELL

Business Name

PATRICK DUNLEAVY FARRELL DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/06/2016