EDWARD HAGEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001343

License Status

EXPIRED

Business

Title

First Name

EDWARD

Last Name

HAGEN

Business Name

EDWARD HAGEN MD

Original Issue Date

02/01/2020

Effective Date

02/01/2020

Expiration Date

04/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/19/2020