DANIEL H FAGERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028104

License Status

EXPIRED

Business

First Name

DANIEL

Middle

Last Name

FAGERSON

Suffix

Business Name

DANIEL H FAGERSON MD

Original Issue Date

05/15/1992

Effective Date

05/15/1992

Expiration Date

06/22/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006