STEVEN FAGIEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000250

License Status

EXPIRED

Business

First Name

STEVEN

Last Name

FAGIEN

Suffix

Business Name

STEVEN FAGIEN MD

Original Issue Date

08/24/2005

Effective Date

08/24/2005

Expiration Date

03/22/2006

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006