BRANDIE L FAGIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

BRANDIE

Middle

Last Name

FAGIN

Suffix

Business Name

BRANDIE L FAGIN MD

Original Issue Date

05/16/2008

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023