BRIAN M HAUS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****05

NOT RENEWED

N

MD

BRIAN

M

HAUS

BRIAN M HAUS MD

10/11/2012

10/11/2012

07/31/2014

SPRINGFIELD

IL

62769

SANGAMON

PRACTITIONER

II III IV V

N

11/17/2014