PHILIP J FAGAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079407

License Status

INACTIVE

Business

First Name

PHILIP J

Last Name

FAGAN

Suffix

Business Name

PHILIP J FAGAN MD

Original Issue Date

09/16/1989

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

LOS ANGELES

State

Zip

90017

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/05/2020