JOSEPH FENTON FAUST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151797

License Status

NOT RENEWED

Business

Title

First Name

JOSEPH

Middle

FENTON

Last Name

FAUST

Business Name

JOSEPH FENTON FAUST MD

Original Issue Date

02/11/2020

Effective Date

02/11/2020

Expiration Date

09/30/2020

City

PORT SAINT LUCIE

State

Zip

34952

Ever Disciplined

LastModifiedDate

01/14/2021