KATHLEEN MARIE FAGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060857

License Status

NOT RENEWED

Business

First Name

KATHLEEN MARIE

Last Name

FAGAN

Suffix

Business Name

KATHLEEN MARIE FAGAN MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006