SAMUEL FADARE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174752

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Last Name

FADARE

Business Name

SAMUEL FADARE MD

Original Issue Date

04/24/2025

Effective Date

04/24/2025

Expiration Date

07/31/2026

City

GLADSTONE

State

Zip

64119

County

CLAY

Ever Disciplined

LastModifiedDate

04/02/2025