LEE DAVID FAUCHER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133421

License Status

INACTIVE

Business

Title

First Name

LEE

Middle

DAVID

Last Name

FAUCHER

Business Name

LEE DAVID FAUCHER MD

Original Issue Date

06/27/2013

Effective Date

06/27/2013

Expiration Date

07/31/2014

City

VERONA

State

Zip

53593

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/08/2014