ELIZABETH GOMEZ FAUST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

GOMEZ

Last Name

FAUST

Business Name

ELIZABETH GOMEZ FAUST MD

Original Issue Date

02/25/2019

Effective Date

02/25/2019

Expiration Date

09/30/2020

City

SOLON

State

Zip

52333

County

JOHNSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2023