LEONARD S FAGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071201

License Status

NOT RENEWED

Business

First Name

LEONARD S

Last Name

FAGAN

Suffix

Business Name

LEONARD S FAGAN MD

Original Issue Date

07/22/1985

Effective Date

07/16/2020

Expiration Date

07/31/2023

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023