THOMAS J FAULL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000858

License Status

EXPIRED

Business

Title

First Name

THOMAS

Middle

Last Name

FAULL

Business Name

THOMAS J FAULL DO

Original Issue Date

02/07/2011

Effective Date

02/07/2011

Expiration Date

03/06/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2011