GARY ALLAN HAGENS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001297

License Status

ACTIVE

Business

First Name

GARY

Middle

ALLAN

Last Name

HAGENS

Suffix

DMD

Business Name

GARY ALLAN HAGENS DMD

Original Issue Date

09/09/1986

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2024