JAMES W FARRELL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****60

NOT RENEWED

N

JAMES W

FARRELL

MD

JAMES W FARRELL MD

05/06/1992

05/06/1992

07/31/2002

PEORIA

IL

61603

PEORIA

II III IV V

N

04/12/2017