PATRICK DUNLEAVY FARRELL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

PATRICK

Middle

DUNLEAVY

Last Name

FARRELL

Business Name

PATRICK DUNLEAVY FARRELL DO

Original Issue Date

09/27/2019

Effective Date

09/27/2019

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63139

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021