ELIZABETH ANN FAGAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PROFESSOR

License Number

113000017

License Status

EXPIRED

Business

First Name

ELIZABETH ANN

Last Name

FAGAN

Business Name

ELIZABETH ANN FAGAN

Original Issue Date

12/21/1994

Effective Date

12/21/1994

Expiration Date

12/18/1995

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006