KELLY HUNT HALLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024749

License Status

EXPIRED

Business

First Name

KELLY HUNT

Last Name

HALLER

Business Name

KELLY HUNT HALLER

Original Issue Date

05/08/1990

Effective Date

05/08/1990

Expiration Date

06/30/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006