JOHNATHAN SCHNEE FAGG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071208

License Status

CANCELLED

Business

Title

First Name

JOHNATHAN

Middle

SCHNEE

Last Name

FAGG

Business Name

JOHNATHAN SCHNEE FAGG MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

SAINT LOUIS

State

Zip

63141

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2017