DAVID G HANEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

DAVID G

Last Name

HANEY

Suffix

Business Name

DAVID G HANEY MD

Original Issue Date

12/26/1990

Effective Date

12/26/1990

Expiration Date

07/31/1999

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006