THEODORE R HALEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

THEODORE R

Last Name

HALEY

Suffix

Business Name

THEODORE R HALEY MD

Original Issue Date

12/04/1990

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014