THAD C HAGEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043238

License Status

INACTIVE

Business

First Name

THAD C

Last Name

HAGEN

Suffix

Business Name

THAD C HAGEN MD

Original Issue Date

03/27/1970

Effective Date

03/27/1970

Expiration Date

07/31/1987

City

BAYSIDE

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006