THOMAS E FAGAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000181

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

FAGAN

Suffix

Business Name

THOMAS E FAGAN MD

Original Issue Date

10/01/1992

Effective Date

10/01/1992

Expiration Date

11/30/1992

City

IOWA CITY

State

Zip

52245

County

IOWA

Specialty/Qualifier

Pediatric Cardiology

Ever Disciplined

LastModifiedDate

09/25/2006