ALAN VICTOR HAGEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097781

License Status

NOT RENEWED

Business

Title

First Name

ALAN

Middle

VICTOR

Last Name

HAGEN

Business Name

ALAN VICTOR HAGEN MD

Original Issue Date

05/04/1998

Effective Date

09/19/2011

Expiration Date

07/31/2014

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2006013817

Action

Reprimand

Discipline Start Date

05/09/2008

Discipline Reason

Failure to provide patient medical records in a timely manner.