LARRY RAY FAULKNER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

LARRY

Middle

RAY

Last Name

FAULKNER

Business Name

LARRY RAY FAULKNER

Original Issue Date

08/15/2006

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023