MITCHELL FAHRENKROG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154871

License Status

ACTIVE

Business

Title

First Name

MITCHELL

Last Name

FAHRENKROG

Business Name

MITCHELL FAHRENKROG MD

Original Issue Date

11/25/2020

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10028

Ever Disciplined

LastModifiedDate

04/08/2023