MICHAEL J MC FADDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

MC FADDEN

Business Name

MICHAEL J MC FADDEN MD

Original Issue Date

03/08/2010

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021