DUANE Q HAGEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037239

License Status

INACTIVE

Business

First Name

DUANE Q

Last Name

HAGEN

Suffix

Business Name

DUANE Q HAGEN MD

Original Issue Date

07/10/1961

Effective Date

07/10/1961

Expiration Date

07/31/1993

City

ST. LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006