DAVID B FAGAN MD - Medical Doctor License in Missouri | # 036086073

DAVID B FAGAN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086073

License Status

INACTIVE

Business

N

First Name

DAVID B

Last Name

FAGAN

Suffix

MD

Business Name

DAVID B FAGAN MD

Original Issue Date

05/18/1993

Effective Date

05/18/1993

Expiration Date

07/31/1996

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006