ANNALYSE GRACE FAULK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007875

License Status

ACTIVE

Business

First Name

ANNALYSE

Middle

GRACE

Last Name

FAULK

Business Name

ANNALYSE GRACE FAULK

Original Issue Date

08/08/2020

Effective Date

12/22/2025

Expiration Date

03/01/2028

City

MEMPHIS

State

Zip

38104

County

TENNESSEE

Ever Disciplined

LastModifiedDate

12/22/2025