NYSSA FOX FARRELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155281

License Status

ACTIVE

Business

Title

First Name

NYSSA

Middle

FOX

Last Name

FARRELL

Business Name

NYSSA FOX FARRELL MD

Original Issue Date

01/13/2021

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

KIRKWOOD

State

Zip

63122

Ever Disciplined

LastModifiedDate

04/12/2023