MICHAEL JOHN HAGSTROM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068820

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

HAGSTROM

Business Name

MICHAEL JOHN HAGSTROM DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/26/2016