License holder summary

FAGAN, PHILIP JOHN JR, MD is a Medical - Physician licensed to practice in Georgia. The address on file for FAGAN, PHILIP JOHN JR, MD is 637 SOUTH LUCAS AVENUE | SUITE 606, LOS ANGELES 90017. This doctor license is current. The license was granted 10/15/1980 and expired on 02/28/2017.

Georgia

Composite Medical Board

FAGAN, PHILIP JOHN JR, MD
Medical - Physician
License number
021973
Date granted
10/15/1980
Date expires
02/28/2017
Class
Medical - Physician
Status
Active
Address
637 SOUTH LUCAS AVENUE | SUITE 606
georgiadoctors.net
ID 38041570
LAST UPDATED 2024-02-12 16:06:10 UTC

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