BENJAMIN MARK FAUSTICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167830

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

MARK

Last Name

FAUSTICH

Business Name

BENJAMIN MARK FAUSTICH MD

Original Issue Date

12/01/2023

Effective Date

12/01/2023

Expiration Date

07/31/2026

City

EDINA

State

Zip

55439

Ever Disciplined

LastModifiedDate

12/01/2023