JEREMIAH FRANCIS HAINES DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070339

License Status

EXPIRED

Business

Title

First Name

JEREMIAH

Middle

FRANCIS

Last Name

HAINES

Business Name

JEREMIAH FRANCIS HAINES DO

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

06/21/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020