CHARLES RAYMOND FARRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

CHARLES RAYMOND

Last Name

FARRA

Suffix

Business Name

CHARLES RAYMOND FARRA MD

Original Issue Date

01/01/1997

Effective Date

08/20/2008

Expiration Date

07/31/2011

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/10/2011