GORDON DALE HAUGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058054

License Status

NOT RENEWED

Business

First Name

GORDON DALE

Last Name

HAUGAN

Suffix

Business Name

GORDON DALE HAUGAN MD

Original Issue Date

11/20/1978

Effective Date

11/20/1978

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006