RICHARD JOSEPH FAGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173697

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

JOSEPH

Last Name

FAGAN

Business Name

RICHARD JOSEPH FAGAN MD

Original Issue Date

02/11/2025

Effective Date

02/11/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/21/2025