JAY WILBUR HAINES II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

JAY WILBUR

Last Name

HAINES II

Suffix

Business Name

JAY WILBUR HAINES II MD

Original Issue Date

01/01/1997

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014