JOHN M HATLELID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

JOHN M

Last Name

HATLELID

Suffix

Business Name

JOHN M HATLELID MD

Original Issue Date

03/21/1996

Effective Date

03/21/1996

Expiration Date

07/31/2008

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008