DEIRDRE A HABERMEHL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

DEIRDRE

Middle

Last Name

HABERMEHL

Business Name

DEIRDRE A HABERMEHL

Original Issue Date

01/20/1998

Effective Date

01/20/1998

Expiration Date

07/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006