EDDA HILDEGARD HACKL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043041

License Status

NOT RENEWED

Business

First Name

EDDA HILDEGARD

Last Name

HACKL

Suffix

Business Name

EDDA HILDEGARD HACKL MD

Original Issue Date

12/18/1969

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017