NEIL BRUCE HAGEN DDS - Dentist License in Illinois | # 021001074

NEIL BRUCE HAGEN DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001074

License Status

ACTIVE

Business

N

First Name

NEIL

Middle

BRUCE

Last Name

HAGEN

Suffix

DDS

Business Name

NEIL BRUCE HAGEN DDS

Original Issue Date

06/11/1981

Effective Date

08/22/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

08/22/2024