ELIZABETH A FAULK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021222

License Status

EXPIRED

Business

First Name

ELIZABETH A

Last Name

FAULK

Suffix

Business Name

ELIZABETH A FAULK MD

Original Issue Date

06/08/1987

Effective Date

06/08/1987

Expiration Date

07/01/1990

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006