DAVID ANTOINE NE HAILY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040980

License Status

NOT RENEWED

Business

First Name

DAVID ANTOINE NE

Last Name

HAILY

Suffix

Business Name

DAVID ANTOINE NE HAILY MD

Original Issue Date

05/25/1967

Effective Date

05/25/1967

Expiration Date

07/01/1972

City

MT. VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/07/2010