NEIL BRUCE HAGEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000242

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

08/22/2024