MITCHELL FAGAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174243

License Status

ACTIVE

Business

Title

First Name

MITCHELL

Last Name

FAGAN

Business Name

MITCHELL FAGAN DO

Original Issue Date

03/19/2025

Effective Date

03/19/2025

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

Ever Disciplined

LastModifiedDate

03/19/2025