ERIC MICHAEL HAGEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

Title

DMD

First Name

ERIC

Middle

MICHAEL

Last Name

HAGEN

Business Name

ERIC MICHAEL HAGEN DMD

Original Issue Date

08/09/2019

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60516

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2024