GARY S HAUKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

GARY S

Last Name

HAUKE

Suffix

Business Name

GARY S HAUKE MD

Original Issue Date

02/24/2005

Effective Date

02/24/2005

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008