ERIN E FANCHER GAGEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

ERIN

Middle

Last Name

FANCHER GAGEN

Business Name

ERIN E FANCHER GAGEN

Original Issue Date

04/05/2005

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

TRENTON

State

Zip

62293

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023