BRYAN DANIEL HAUGHOM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060238

License Status

EXPIRED

Business

Title

First Name

BRYAN

Middle

DANIEL

Last Name

HAUGHOM

Business Name

BRYAN DANIEL HAUGHOM MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

08/16/2016