LINDSAY MARIE HAGAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

NOT RENEWED

Business

First Name

LINDSAY

Middle

MARIE

Last Name

HAGAN

Business Name

LINDSAY MARIE HAGAN

Original Issue Date

11/29/2016

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

LOMBARD

State

Zip

60148

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020