DAVID J FAUST DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071687

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

FAUST

Suffix

Business Name

DAVID J FAUST DO

Original Issue Date

09/18/1985

Effective Date

09/18/1985

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006