BRIAN MICHAEL FAGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107817

License Status

ACTIVE

Business

First Name

BRIAN

Middle

MICHAEL

Last Name

FAGAN

Suffix

Business Name

BRIAN MICHAEL FAGAN MD

Original Issue Date

09/11/2002

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/07/2023