JAMES J FAREMOUTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

FAREMOUTH

Suffix

Business Name

JAMES J FAREMOUTH MD

Original Issue Date

08/23/2006

Effective Date

08/19/2008

Expiration Date

07/31/2011

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011