KENNETH DANIEL FARR MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

INOPERATIVE

Business

Title

First Name

KENNETH

Middle

DANIEL

Last Name

FARR

Business Name

KENNETH DANIEL FARR MD

Original Issue Date

04/19/2023

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023