DAVID FAULK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049209

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

FAULK

Suffix

Business Name

DAVID FAULK MD

Original Issue Date

06/03/1974

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

SOMONAUK

State

Zip

60552

County

DEKALB

Ever Disciplined

LastModifiedDate

11/01/2017