MATTHEW ADAM HAGEMEYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ADAM

Last Name

HAGEMEYER

Suffix

Business Name

MATTHEW ADAM HAGEMEYER MD

Original Issue Date

03/04/2008

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014