JEFFREY W FARMER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

FARMER

Business Name

JEFFREY W FARMER

Original Issue Date

08/06/1998

Effective Date

08/06/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006