DORIS A FAULK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041240455

License Status

NOT RENEWED

Business

First Name

DORIS A

Last Name

FAULK

Business Name

DORIS A FAULK

Original Issue Date

02/19/1987

Effective Date

05/16/2016

Expiration Date

05/31/2018

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2018