DOUGLAS R HASEGAWA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

First Name

DOUGLAS R

Last Name

HASEGAWA

Suffix

DDS

Business Name

DOUGLAS R HASEGAWA DDS

Original Issue Date

01/01/1998

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024