COLIN MACLAINE FADZEN MD - Medical Doctor License in Maryland | # 33*****03

COLIN MACLAINE FADZEN MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

N

Title

MD

First Name

COLIN

Middle

MACLAINE

Last Name

FADZEN

Business Name

COLIN MACLAINE FADZEN MD

Original Issue Date

05/19/2025

Effective Date

05/19/2025

Expiration Date

07/31/2026

State

MD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

05/19/2025