KATHLEEN SENICA FARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

KATHLEEN SENICA

Last Name

FARRIS

Suffix

Business Name

KATHLEEN SENICA FARRIS MD

Original Issue Date

07/12/1984

Effective Date

07/12/1984

Expiration Date

07/31/1990

City

LASALLE

State

Zip

61301

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006