CHARLES SCOTT DEHAAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012965

License Status

EXPIRED

Business

First Name

CHARLES SCOTT

Last Name

DEHAAN

Suffix

Business Name

CHARLES SCOTT DEHAAN MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006