Timothy Daniel Fagen
Medical Board - 58.Do Training Certificate
Ohio 58.001873 Inactive
This Ohio license was held by Timothy Daniel Fagen. The license is no longer active. It was granted on 10/17/2005 and expired on 06/26/2006
LICENSE DETAILS
- License Number: 58.001873
- Category: 58.DO Training Certificate
- Status: Inactive
- Date Granted: 10/17/2005 (over 19 years ago)
- Expiry Date: 06/26/2006 (almost 19 years ago)
LOCATIONS
A Practice Address
St Vincent Mercy Medical Center, C/O Medical Education Dept, 2213 Cherry Street, Toledo, OH 43608