KATHRYN R FARRELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

KATHRYN

Middle

Last Name

FARRELL

Business Name

KATHRYN R FARRELL MD

Original Issue Date

10/06/2014

Effective Date

10/06/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017