KENNETH A FARRISH Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

KENNETH A

Last Name

FARRISH

Business Name

KENNETH A FARRISH

Original Issue Date

06/29/1989

Effective Date

06/29/1989

Expiration Date

01/31/1997

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/25/2006