STANLEY DANIEL HAEGERT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147324

License Status

INACTIVE

Business

Title

First Name

STANLEY

Middle

DANIEL

Last Name

HAEGERT

Business Name

STANLEY DANIEL HAEGERT MD

Original Issue Date

08/24/2018

Effective Date

08/24/2018

Expiration Date

09/30/2020

City

LAFAYETTE

State

Zip

80026

Ever Disciplined

LastModifiedDate

04/05/2020