WALTER EDWARD HAGENS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031039

License Status

INACTIVE

Business

First Name

WALTER

Middle

EDWARD

Last Name

HAGENS

Suffix

Business Name

WALTER EDWARD HAGENS MD

Original Issue Date

11/16/1951

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011