ELLEN MARIE FARR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070424

License Status

EXPIRED

Business

Title

First Name

ELLEN

Middle

MARIE

Last Name

FARR

Business Name

ELLEN MARIE FARR MD

Original Issue Date

06/20/2020

Effective Date

06/20/2020

Expiration Date

06/19/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/11/2022