DEGAULLE HAILE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110330

License Status

NOT RENEWED

Business

First Name

DEGAULLE

Last Name

HAILE

Suffix

Business Name

DEGAULLE HAILE MD

Original Issue Date

10/20/2003

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

11/17/2014