WILLIAM S FAGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

WILLIAM S

Last Name

FAGMAN

Suffix

Business Name

WILLIAM S FAGMAN MD

Original Issue Date

06/27/1988

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021