FREDERICK J FAGAN OD - Optometrist License in Illinois | # 047926252

FREDERICK J FAGAN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926252

License Status

NOT RENEWED

Business

N

First Name

FREDERICK J

Last Name

FAGAN

Suffix

OD

Business Name

FREDERICK J FAGAN OD

Original Issue Date

06/09/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005