BRIAN MICHAEL FAGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

BRIAN

Middle

MICHAEL

Last Name

FAGAN

Suffix

Business Name

BRIAN MICHAEL FAGAN MD

Original Issue Date

09/22/2003

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023