MARK STEVEN FAULK Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001484

License Status

INACTIVE

Business

First Name

MARK

Middle

STEVEN

Last Name

FAULK

Business Name

MARK STEVEN FAULK

Original Issue Date

11/27/2013

Effective Date

11/27/2013

Expiration Date

10/31/2015

City

SILVER CITY

State

Zip

88061

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

08/05/2015