JODY L FARREY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

NOT RENEWED

Business

First Name

JODY

Middle

Last Name

FARREY

Business Name

JODY L FARREY

Original Issue Date

03/11/2004

Effective Date

03/11/2004

Expiration Date

03/01/2008

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

02/15/2007