BEN CHRISTIAN HAUTER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076090

License Status

CANCELLED

Business

Title

First Name

BEN

Middle

CHRISTIAN

Last Name

HAUTER

Business Name

BEN CHRISTIAN HAUTER MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2023

City

PETERSBURG

State

Zip

62675

County

MENARD

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/04/2020