MITCHELL NORMAN FADDIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174669

License Status

ACTIVE

Business

Title

First Name

MITCHELL

Middle

NORMAN

Last Name

FADDIS

Business Name

MITCHELL NORMAN FADDIS MD

Original Issue Date

04/16/2025

Effective Date

04/16/2025

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

05/01/2025