SARAH B HASEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

HASEK

Suffix

Business Name

SARAH B HASEK MD

Original Issue Date

06/29/2001

Effective Date

08/13/2008

Expiration Date

07/31/2011

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011