CHRISTOPHER RYAN FAGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163266

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Middle

RYAN

Last Name

FAGAN

Business Name

CHRISTOPHER RYAN FAGAN MD

Original Issue Date

12/28/2022

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

Ever Disciplined

LastModifiedDate

06/24/2023