DAVID FAULK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

FAULK

Suffix

Business Name

DAVID FAULK MD

Original Issue Date

01/01/1997

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

SANDWICH

State

Zip

60548

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017