DAVID B FAGAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022656

License Status

EXPIRED

Business

First Name

DAVID B

Last Name

FAGAN

Suffix

Business Name

DAVID B FAGAN MD

Original Issue Date

06/04/1988

Effective Date

06/04/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006