R DAVID HALSTEAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

R DAVID

Last Name

HALSTEAD

Suffix

Business Name

R DAVID HALSTEAD MD

Original Issue Date

01/01/1997

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023