ERIN E FANCHER GAGEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113295

License Status

ACTIVE

Business

First Name

ERIN

Middle

Last Name

FANCHER GAGEN

Business Name

ERIN E FANCHER GAGEN

Original Issue Date

03/21/2005

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

TRENTON

State

Zip

62293

County

CLINTON

Ever Disciplined

LastModifiedDate

04/07/2023