HANNAH KATHLEEN HAGEMAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

INOPERATIVE

Business

First Name

HANNAH

Middle

KATHLEEN

Last Name

HAGEMAN

Business Name

HANNAH KATHLEEN HAGEMAN

Original Issue Date

08/10/2015

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018