DAVID ALAN HAUSLEIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058748

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

ALAN

Last Name

HAUSLEIN

Business Name

DAVID ALAN HAUSLEIN MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2011

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011