CHRISTINA MICHELLE FAHEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161454

License Status

ACTIVE

Business

Title

First Name

CHRISTINA

Middle

MICHELLE

Last Name

FAHEY

Business Name

CHRISTINA MICHELLE FAHEY MD

Original Issue Date

07/15/2022

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

Ever Disciplined

LastModifiedDate

04/19/2023