GAIL S HAIKEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

GAIL S

Last Name

HAIKEN

Suffix

Business Name

GAIL S HAIKEN MD

Original Issue Date

06/07/1991

Effective Date

01/17/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/24/2023