DANIEL L HA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076093

License Status

NOT RENEWED

Business

First Name

DANIEL L

Last Name

Suffix

Business Name

DANIEL L HA MD

Original Issue Date

10/02/1987

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021