BRUCE G FAGEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047657

License Status

NOT RENEWED

Business

First Name

BRUCE G

Last Name

FAGEL

Suffix

Business Name

BRUCE G FAGEL MD

Original Issue Date

08/17/1973

Effective Date

08/17/1973

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006