DEREK WALTER VON HAAG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

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

05/10/2019

Effective Date

05/10/2019

Expiration Date

09/30/2020

City

TUSCON

State

Zip

85743

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021