RYAN JAMES HAGENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071821

License Status

EXPIRED

Business

Title

First Name

RYAN

Middle

JAMES

Last Name

HAGENS

Business Name

RYAN JAMES HAGENS MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2019

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/02/2019