ANGELA TRACY FARRELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000482

License Status

EXPIRED

Business

First Name

ANGELA

Middle

TRACY

Last Name

FARRELL

Suffix

Business Name

ANGELA TRACY FARRELL MD

Original Issue Date

01/01/2012

Effective Date

01/01/2012

Expiration Date

06/30/2012

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012