THOMAS J HABERKAMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

Last Name

HABERKAMP

Business Name

THOMAS J HABERKAMP MD

Original Issue Date

10/28/1997

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011