MARY LOUISE HLAVIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LOUISE

Last Name

HLAVIN

Business Name

MARY LOUISE HLAVIN

Original Issue Date

09/21/1998

Effective Date

09/21/1998

Expiration Date

07/31/2002

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006