J GLENN HAINES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046000

License Status

NOT RENEWED

Business

First Name

J GLENN

Last Name

HAINES

Suffix

Business Name

J GLENN HAINES MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2006