RACHEL E FARGASON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020589

License Status

EXPIRED

Business

First Name

RACHEL E

Last Name

FARGASON

Suffix

Business Name

RACHEL E FARGASON MD

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006