ROSE MARIE HAISLER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

ROSE

Middle

MARIE

Last Name

HAISLER

Suffix

Business Name

ROSE MARIE HAISLER DO

Original Issue Date

10/28/2013

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021