CHRISTOPHER RYAN FAGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Middle

RYAN

Last Name

FAGAN

Business Name

CHRISTOPHER RYAN FAGAN MD

Original Issue Date

02/10/2023

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

ANN ARBOR

State

Zip

48105

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023