FERN R HAUCK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

CANCELLED

Business

First Name

FERN R

Last Name

HAUCK

Suffix

Business Name

FERN R HAUCK MD

Original Issue Date

10/24/1989

Effective Date

10/24/1989

Expiration Date

07/31/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006