ELLEN THERESE HAAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130676

License Status

ACTIVE

Business

Title

First Name

ELLEN

Middle

THERESE

Last Name

HAAS

Business Name

ELLEN THERESE HAAS MD

Original Issue Date

06/29/2012

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/08/2023