ANN L HABENICHT DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066858

License Status

INACTIVE

Business

First Name

ANN L

Last Name

HABENICHT

Suffix

Business Name

ANN L HABENICHT DO

Original Issue Date

06/30/1983

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2017