MICHAEL JOHN HAGSTROM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

HAGSTROM

Business Name

MICHAEL JOHN HAGSTROM DO

Original Issue Date

02/07/2019

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023