MICHAEL A HAGE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

Title

DDS

First Name

MICHAEL

Middle

Last Name

HAGE

Business Name

MICHAEL A HAGE DDS

Original Issue Date

03/31/1993

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024