DOUGLAS GRANT FAULK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180781

License Status

NOT RENEWED

Business

First Name

DOUGLAS GRANT

Last Name

FAULK

Business Name

DOUGLAS GRANT FAULK

Original Issue Date

05/08/1978

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

08/16/2010