DEREK WALTER VON HAAG MD - Medical Doctor License in Arizona | # 036149058

DEREK WALTER VON HAAG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149058

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DEREK

Middle

WALTER

Last Name

VON HAAG

Business Name

DEREK WALTER VON HAAG MD

Original Issue Date

04/16/2019

Effective Date

04/16/2019

Expiration Date

09/30/2020

State

AZ

Ever Disciplined

N

LastModifiedDate

01/14/2021