BRANDIE L FAGIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120912

License Status

ACTIVE

Business

First Name

BRANDIE

Middle

Last Name

FAGIN

Suffix

Business Name

BRANDIE L FAGIN MD

Original Issue Date

05/16/2008

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2023