JOHN P HAGEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

Last Name

HAGEN

Business Name

JOHN P HAGEN MD

Original Issue Date

09/16/2021

Effective Date

08/09/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/09/2023