NEIL BRUCE HAGEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

First Name

NEIL

Middle

BRUCE

Last Name

HAGEN

Suffix

DDS

Business Name

NEIL BRUCE HAGEN DDS

Original Issue Date

01/01/1998

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024