BENJAMIN MARK FAUSTICH MD - Medical Doctor License in Minnesota | # 036167830

BENJAMIN MARK FAUSTICH MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167830

License Status

ACTIVE

Business

N

Title

MD

First Name

BENJAMIN

Middle

MARK

Last Name

FAUSTICH

Business Name

BENJAMIN MARK FAUSTICH MD

Original Issue Date

12/01/2023

Effective Date

12/01/2023

Expiration Date

07/31/2026

State

MN

Ever Disciplined

N

LastModifiedDate

12/01/2023