THOMAS E FAGAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110618

License Status

INACTIVE

Business

First Name

THOMAS

Middle

Last Name

FAGAN

Suffix

Business Name

THOMAS E FAGAN MD

Original Issue Date

12/22/2003

Effective Date

12/22/2003

Expiration Date

07/31/2005

City

IOWA CITY

State

Zip

52245

County

IOWA

Ever Disciplined

LastModifiedDate

12/03/2015