MICHAEL LEE FESSENDEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

LEE

Last Name

FESSENDEN

Suffix

Business Name

MICHAEL LEE FESSENDEN MD

Original Issue Date

07/19/2007

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

FRANKLIN

State

Zip

37064

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023