License holder summary

JAKE DAVID FAGAN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JAKE DAVID FAGAN is Morgantown WV 26505. This medical practitioner license is current. The license was granted 03/11/2015 and expired on 06/30/2016.

Department of State

Board of Medicine

JAKE DAVID FAGAN
Graduate Medical Trainee
License number
MT207854
Date granted
03/11/2015
Date expires
06/30/2016
Class
Graduate Medical Trainee
Status
Active
Address
Morgantown WV 26505
medicinepa.com
ID 37531946
LAST UPDATED 2024-03-09 04:09:43 UTC

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