KELLY HUNT HALLER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

KELLY HUNT

Last Name

HALLER

Business Name

KELLY HUNT HALLER

Original Issue Date

07/27/1993

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023