MARY HELEN HAGGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

MARY HELEN

Last Name

HAGGE

Suffix

Business Name

MARY HELEN HAGGE MD

Original Issue Date

05/28/1993

Effective Date

05/28/1993

Expiration Date

07/31/1996

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006