TIMOTHY G HAVENHILL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112770

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

Last Name

HAVENHILL

Business Name

TIMOTHY G HAVENHILL MD

Original Issue Date

12/14/2004

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60012

Ever Disciplined

LastModifiedDate

04/18/2023