GARRETT ANTON HAGEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035291

License Status

NOT RENEWED

Business

First Name

GARRETT ANTON

Last Name

HAGEN

Suffix

Business Name

GARRETT ANTON HAGEN MD

Original Issue Date

08/14/1958

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63117

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014