JENNIFER ANNE HAGERTY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

ANNE

Last Name

HAGERTY

Suffix

Business Name

JENNIFER ANNE HAGERTY DO

Original Issue Date

12/23/2005

Effective Date

06/11/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011