NEIL BRUCE HAGEN DDS - Dentist License in Illinois | # 137000242

NEIL BRUCE HAGEN DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000242

License Status

ACTIVE

Business

N

First Name

NEIL

Middle

BRUCE

Last Name

HAGEN

Suffix

DDS

Business Name

NEIL BRUCE HAGEN DDS

Original Issue Date

03/17/1990

Effective Date

08/22/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

08/22/2024