RANDALL R HAASE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073594

License Status

NOT RENEWED

Business

First Name

RANDALL R

Last Name

HAASE

Suffix

Business Name

RANDALL R HAASE DO

Original Issue Date

08/26/1986

Effective Date

08/26/1986

Expiration Date

07/31/1999

City

NIOTA

State

Zip

62358

County

HANCOCK

Ever Disciplined

LastModifiedDate

05/01/2015