CHRISTINA MICHELLE FAHEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

CHRISTINA

Middle

MICHELLE

Last Name

FAHEY

Business Name

CHRISTINA MICHELLE FAHEY MD

Original Issue Date

01/10/2023

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023