Delaware
Division of Professional Regulation
Matthew John Fagan
Controlled Substances - Physician Csr
License number
DR-0010345
Date granted
08/25/2014
Date expires
06/30/2015
Class
Controlled Substances - Physician Csr
Status
Active
Address
Garnet Valley PA 19060
delawarelicensing.com
ID 20538209
LAST UPDATED 2024-03-24 19:13:12 UTC
LAST UPDATED 2024-03-24 19:13:12 UTC
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