MICHAEL R HAAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

HAAKE

Suffix

Business Name

MICHAEL R HAAKE MD

Original Issue Date

08/24/1988

Effective Date

08/24/1988

Expiration Date

07/31/1990

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006