JAMES W FARRELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

JAMES W

Last Name

FARRELL

Suffix

Business Name

JAMES W FARRELL MD

Original Issue Date

05/07/1993

Effective Date

05/07/1993

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017