ROBERT J HAAKE JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

HAAKE

Suffix

JR DO

Business Name

ROBERT J HAAKE JR DO

Original Issue Date

01/29/1993

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011