MICHAEL P FRAGEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023304

License Status

EXPIRED

Business

First Name

MICHAEL P

Last Name

FRAGEN

Suffix

Business Name

MICHAEL P FRAGEN MD

Original Issue Date

04/19/1989

Effective Date

04/19/1989

Expiration Date

06/21/1992

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006