CLARA F HAYNES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107153

License Status

NOT RENEWED

Business

First Name

CLARA

Middle

Last Name

HAYNES

Suffix

Business Name

CLARA F HAYNES MD

Original Issue Date

06/10/2002

Effective Date

06/10/2002

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006