MICHAEL A HAGE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000638

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHAEL

Middle

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005