MICHAEL HOWARD HAGEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063287

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

HOWARD

Last Name

HAGEN

Business Name

MICHAEL HOWARD HAGEN MD

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2014

City

YONKERS

State

Zip

10701

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015