STUART RICHARD FARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

STUART

Middle

RICHARD

Last Name

FARRIS

Suffix

Business Name

STUART RICHARD FARRIS MD

Original Issue Date

01/24/2001

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017