MICHELLE LYNN HAGENE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000605

License Status

EXPIRED

Business

Title

First Name

MICHELLE

Middle

LYNN

Last Name

HAGENE

Business Name

MICHELLE LYNN HAGENE MD

Original Issue Date

02/13/2017

Effective Date

02/13/2017

Expiration Date

08/12/2017

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/01/2017