GARY LEE HAYNES DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035139

License Status

EXPIRED

Business

First Name

GARY

Middle

LEE

Last Name

HAYNES

Suffix

Business Name

GARY LEE HAYNES DO

Original Issue Date

06/17/1996

Effective Date

06/17/1996

Expiration Date

06/30/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006