MARC A FAGAN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006654

License Status

ACTIVE

Business

First Name

MARC

Middle

Last Name

FAGAN

Business Name

MARC A FAGAN

Original Issue Date

12/16/2003

Effective Date

09/29/2024

Expiration Date

09/30/2026

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

09/29/2024