DANIEL JOSEPH HALLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

CANCELLED

Business

First Name

DANIEL

Middle

JOSEPH

Last Name

HALLER

Suffix

Business Name

DANIEL JOSEPH HALLER MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008