MICHAEL JOHN HAGSTROM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148007

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

HAGSTROM

Business Name

MICHAEL JOHN HAGSTROM DO

Original Issue Date

12/28/2018

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

04/18/2023