MICHELLE LYNN HAGENE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

LYNN

Last Name

HAGENE

Business Name

MICHELLE LYNN HAGENE MD

Original Issue Date

02/08/2018

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023