GLEN HAIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040446

License Status

NOT RENEWED

Business

First Name

GLEN

Last Name

HAIT

Suffix

Business Name

GLEN HAIT MD

Original Issue Date

07/05/1966

Effective Date

07/05/1966

City

PHOENIX

State

Zip

85035

County

ARKANSAS

Ever Disciplined

LastModifiedDate

09/20/2006