LEE DAVID FAUCHER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

CANCELLED

Business

Title

First Name

LEE

Middle

DAVID

Last Name

FAUCHER

Business Name

LEE DAVID FAUCHER MD

Original Issue Date

06/28/2013

Effective Date

06/28/2013

Expiration Date

07/31/2014

City

VERONA

State

Zip

53593

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/18/2014