ELAINE E FARRELL 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

ELAINE E

Last Name

FARRELL

Suffix

Business Name

ELAINE E FARRELL MD

Original Issue Date

02/16/1983

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017