MICHAEL A HAGE DDS - Dentist License in Illinois | # 018000638

MICHAEL A HAGE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000638

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

MICHAEL

Middle

A

Last Name

HAGE

Business Name

MICHAEL A HAGE DDS

Original Issue Date

07/06/1992

Effective Date

07/06/1992

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005