MARK ELLIOT FAITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054849

License Status

NOT RENEWED

Business

First Name

MARK ELLIOT

Last Name

FAITH

Suffix

Business Name

MARK ELLIOT FAITH MD

Original Issue Date

07/18/1977

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017