Jack Calvin Fagan Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036038260

Status

Expired (Not Renewed)

First issued

December 12, 1962

Expired

July 31, 1990

License holder

Jack Calvin Fagan Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

12/12/1962

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