DANIEL ALLEN HAGERMAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

INOPERATIVE

Business

First Name

DANIEL

Middle

ALLEN

Last Name

HAGERMAN

Business Name

DANIEL ALLEN HAGERMAN

Original Issue Date

10/19/2019

Effective Date

02/20/2024

Expiration Date

03/01/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/03/2025