TANYA NICOLE HAAG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062260

License Status

CANCELLED

Business

Title

First Name

TANYA

Middle

NICOLE

Last Name

HAAG

Business Name

TANYA NICOLE HAAG DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014