KENNETH A FARRISH Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004311

License Status

NOT RENEWED

Business

First Name

KENNETH A

Last Name

FARRISH

Business Name

KENNETH A FARRISH

Original Issue Date

03/07/1989

Effective Date

03/07/1989

Expiration Date

01/31/1999

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006