MIKE H HACKMANN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034625

License Status

EXPIRED

Business

First Name

MIKE

Middle

Last Name

HACKMANN

Suffix

Business Name

MIKE H HACKMANN MD

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

06/30/2000

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006