ELIZABETH M FAULCONER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

ELIZABETH M

Last Name

FAULCONER

Suffix

Business Name

ELIZABETH M FAULCONER MD

Original Issue Date

09/18/2002

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023