MARIAN FRANCES FAGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141378

License Status

NOT RENEWED

Business

Title

First Name

MARIAN

Middle

FRANCES

Last Name

FAGAN

Business Name

MARIAN FRANCES FAGAN MD

Original Issue Date

07/29/2016

Effective Date

07/10/2017

Expiration Date

09/30/2020

City

TYLER

State

Zip

75703

County

TEXAS

Ever Disciplined

LastModifiedDate

01/14/2021