PHILLIP FARRELL BURRER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

PHILLIP

Middle

FARRELL

Last Name

BURRER

Business Name

PHILLIP FARRELL BURRER MD

Original Issue Date

06/13/2018

Effective Date

06/13/2018

Expiration Date

09/30/2020

City

CARMEL

State

Zip

46032

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021