SUSAN M HAACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067326

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

HAACK

Suffix

Business Name

SUSAN M HAACK MD

Original Issue Date

08/18/1983

Effective Date

08/18/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006