THEODORE R HALEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080151

License Status

NOT RENEWED

Business

First Name

THEODORE R

Last Name

HALEY

Suffix

Business Name

THEODORE R HALEY MD

Original Issue Date

09/27/1990

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

1990005138

Action

Probation

Discipline Start Date

09/25/1990

Discipline End Date

03/14/1995

Discipline Reason

License issued on probation after being disciplined in Washington.