ROBERT J HAAKE JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

HAAKE

Suffix

JR DO

Business Name

ROBERT J HAAKE JR DO

Original Issue Date

03/26/2003

Effective Date

03/26/2003

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011