HARLEY JAY HAMMERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

HARLEY JAY

Last Name

HAMMERMAN

Suffix

Business Name

HARLEY JAY HAMMERMAN MD

Original Issue Date

10/05/1994

Effective Date

10/05/1994

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006