PETER THOMAS FAGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036030016

License Status

NOT RENEWED

Business

First Name

PETER THOMAS

Last Name

FAGAN

Suffix

Business Name

PETER THOMAS FAGAN MD

Original Issue Date

06/01/1950

Effective Date

06/01/1950

Expiration Date

07/31/1993

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006