WILLIAM S FAGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049793

License Status

NOT RENEWED

Business

First Name

WILLIAM S

Last Name

FAGMAN

Suffix

Business Name

WILLIAM S FAGMAN MD

Original Issue Date

08/28/1974

Effective Date

07/21/2020

Expiration Date

07/31/2023

City

LONG GROVE

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023