THOMAS B FAULKNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023301

License Status

EXPIRED

Business

First Name

THOMAS B

Last Name

FAULKNER

Suffix

Business Name

THOMAS B FAULKNER MD

Original Issue Date

04/19/1989

Effective Date

04/19/1989

Expiration Date

07/01/1992

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006