SUSAN M HAACK MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****41

NOT RENEWED

N

SUSAN M

HAACK

MD

SUSAN M HAACK MD

10/17/1983

10/17/1983

07/31/1987

CHICAGO

IL

60611

COOK

II III IV V

N

09/26/2006