License holder summary

Brian Michael Fagan is a Physician licensed to practice in Indiana. The address on file for Brian Michael Fagan is Orland Park IL 60462. This licensed professional license is not current. The license was granted 12/16/2010 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Brian Michael Fagan
Physician
License number
01069051A
Date granted
12/16/2010
Date expires
10/31/2013
Class
Physician
Status
Expired
Address
Orland Park IL 60462
indianalicensing.org
ID 6091015
LAST UPDATED 2024-04-02 14:47:44 UTC

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