BENJAMIN MARK FAUSTICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

MARK

Last Name

FAUSTICH

Business Name

BENJAMIN MARK FAUSTICH MD

Original Issue Date

04/09/2024

Effective Date

04/09/2024

Expiration Date

07/31/2026

City

EDINA

State

Zip

55439

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026