STUART RICHARD FARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

STUART

Middle

RICHARD

Last Name

FARRIS

Suffix

Business Name

STUART RICHARD FARRIS MD

Original Issue Date

10/29/2001

Effective Date

10/29/2001

Expiration Date

07/31/2005

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017