PETER T FAGAN MD SC Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042000304

License Status

CANCELLED

Business

Business Name

PETER T FAGAN MD SC

Original Issue Date

01/01/1998

Expiration Date

01/01/1989

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006