GREGORY K HAAKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015573

License Status

EXPIRED

Business

First Name

GREGORY K

Last Name

HAAKE

Suffix

Business Name

GREGORY K HAAKE MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/26/1985

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006