HERMAN L FERRELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

HERMAN

Middle

Last Name

FERRELL

Suffix

Business Name

HERMAN L FERRELL MD

Original Issue Date

05/18/2004

Effective Date

05/18/2004

Expiration Date

07/31/2005

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017