COLIN MACLAINE FADZEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

COLIN

Middle

MACLAINE

Last Name

FADZEN

Business Name

COLIN MACLAINE FADZEN MD

Original Issue Date

05/19/2025

Effective Date

05/19/2025

Expiration Date

07/31/2026

City

BALTIMORE

State

Zip

21287

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2025