KELLY ANDREA DAKIN HACHE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121836

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANDREA

Last Name

DAKIN HACHE

Business Name

KELLY ANDREA DAKIN HACHE

Original Issue Date

08/22/2008

Effective Date

08/22/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011