DOUGLAS S HAGAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000004

License Status

EXPIRED

Business

First Name

DOUGLAS

Middle

Last Name

HAGAN

Business Name

DOUGLAS S HAGAN

Original Issue Date

08/09/1993

Effective Date

08/09/1993

Expiration Date

12/22/1993

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006