MICHAEL P FRAGEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

First Name

MICHAEL P

Last Name

FRAGEN

Suffix

Business Name

MICHAEL P FRAGEN MD

Original Issue Date

08/18/1992

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023