DEREK WALTER VON HAAG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149058

License Status

NOT RENEWED

Business

Title

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

City

TUCSON

State

Zip

85743

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/14/2021