MICHAEL J MC FADDEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

Last Name

MC FADDEN

Business Name

MICHAEL J MC FADDEN MD

Original Issue Date

05/28/2002

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

STOCKTON

State

Zip

61085

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023