GREGORY P FAIRCHOK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117627

License Status

ACTIVE

Business

First Name

GREGORY

Middle

Last Name

FAIRCHOK

Suffix

Business Name

GREGORY P FAIRCHOK MD

Original Issue Date

02/13/2007

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

06/18/2023