PHILLIP JOHN HAGGERTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040783

License Status

NOT RENEWED

Business

First Name

PHILLIP JOHN

Last Name

HAGGERTY

Suffix

Business Name

PHILLIP JOHN HAGGERTY MD

Original Issue Date

11/28/1966

Effective Date

11/28/1966

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006