JED A HAAKE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075089

License Status

INACTIVE

Business

First Name

JED

Middle

Last Name

HAAKE

Suffix

Business Name

JED A HAAKE MD

Original Issue Date

06/01/1987

Effective Date

08/18/2020

Expiration Date

07/31/2023

City

AVE MARIA

State

Zip

34142

Ever Disciplined

LastModifiedDate

05/11/2023