DOUGLAS S HAGAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000122

License Status

EXPIRED

Business

First Name

DOUGLAS

Middle

Last Name

HAGAN

Business Name

DOUGLAS S HAGAN

Original Issue Date

08/29/1989

Effective Date

08/29/1989

Expiration Date

11/10/1989

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006