BLAINE L FARLESS Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078196

License Status

INACTIVE

Business

First Name

BLAINE L

Last Name

FARLESS

Business Name

BLAINE L FARLESS

Original Issue Date

11/30/1988

Effective Date

11/30/1988

Expiration Date

07/31/1993

City

CLEBURNE

State

Zip

75031

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006