ELIZABETH A FAULK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078768

License Status

INACTIVE

Business

First Name

ELIZABETH A

Last Name

FAULK

Suffix

Business Name

ELIZABETH A FAULK MD

Original Issue Date

05/12/1989

Effective Date

05/12/1989

Expiration Date

07/31/1996

City

MALDEN

State

Zip

02148

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006