ALAN VICTOR HAGEN MD Medical Doctor License verification

ALAN VICTOR HAGEN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

ALAN

Middle

VICTOR

Last Name

HAGEN

Business Name

ALAN VICTOR HAGEN MD

Original Issue Date

06/18/1998

Effective Date

09/19/2011

Expiration Date

07/31/2014

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

1999002673

Action

Suspension

Discipline Start Date

10/27/2000

Discipline End Date

09/24/2002

Discipline Reason

Remain indefinitely suspended.