JAMES WILLIAM FAULKNER III Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

JAMES WILLIAM

Last Name

FAULKNER III

Business Name

JAMES WILLIAM FAULKNER III

Original Issue Date

10/09/1986

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017