License Directory

Charles Derrick Farwell

Active

California license A111799

License

Licensed by
Medical Board of California
License number
A111799
Status
Active (Current)
First issued
April 2, 2010
Expires
April 30, 2028
License holder
Charles Derrick Farwell
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

387 Park Ave S
New York, NY 10016-8810
New York County