License holder summary

HAGSTROM JACK W C is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for HAGSTROM JACK W C is WATER MILL NY. This doctor license is current. The license was granted 09/19/1960 and expired on 11/30/2015.

New York

Office of the Professions

HAGSTROM JACK W C
Medicine (Physician, Including M Ds & D Os)
License number
084559
Date granted
09/19/1960
Date expires
11/30/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
WATER MILL NY
nymedicine.org
ID 30161513
LAST UPDATED 2024-04-15 20:26:03 UTC

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