FREDERICK J FAGAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****20

License Status

NOT RENEWED

Business

First Name

FREDERICK J

Last Name

FAGAN

Suffix

Business Name

FREDERICK J FAGAN OD

Original Issue Date

08/18/2008

Effective Date

06/30/2022

Expiration Date

03/31/2024

City

OAKBROOKTERRACE

State

Zip

60181

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025