KEITH R HAUG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096819

License Status

INACTIVE

Business

First Name

KEITH

Middle

Last Name

HAUG

Suffix

Business Name

KEITH R HAUG MD

Original Issue Date

10/09/1997

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/12/2017