DONALD L FAGERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

DONALD L

Last Name

FAGERSON

Suffix

Business Name

DONALD L FAGERSON MD

Original Issue Date

03/05/1993

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

INVERNESS

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023