EDWARD FARRELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000028

License Status

NOT RENEWED

Business

First Name

EDWARD

Last Name

FARRELL

Business Name

EDWARD FARRELL

Original Issue Date

11/20/1980

Effective Date

11/20/1980

Expiration Date

11/20/1982

City

ST LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/26/2006