CLARENCE A FEAGIN JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015891

License Status

EXPIRED

Business

First Name

CLARENCE

Middle

Last Name

FEAGIN

Suffix

JR MD

Business Name

CLARENCE A FEAGIN JR MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006