MARK ELLIOT FAITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

MARK ELLIOT

Last Name

FAITH

Suffix

Business Name

MARK ELLIOT FAITH MD

Original Issue Date

01/01/1997

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017