RICHARD JOSEPH FAGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

JOSEPH

Last Name

FAGAN

Business Name

RICHARD JOSEPH FAGAN MD

Original Issue Date

10/21/2025

Effective Date

10/21/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/21/2025