License holder summary

TIMOTHY DANIEL FAGEN is a Osteopathic Medicine & Surgery - Osteopathic Physician licensed to practice in Michigan. This medical licensee license is not current. The license was granted 06/28/2006 and expired on 12/31/2006.

Department of Licensing and Regulatory Affairs

Board of Medicine

TIMOTHY DANIEL FAGEN
Osteopathic Medicine & Surgery - Osteopathic Physician
License number
5101017047
Date granted
06/28/2006
Date expires
12/31/2006
Class
Osteopathic Medicine & Surgery - Osteopathic Physician
Status
Lapsed
Address
michiganmedical.net
ID 39132477
LAST UPDATED 2026-05-05 02:23:41 UTC

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