KEITH R HAUG 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

KEITH

Middle

Last Name

HAUG

Suffix

Business Name

KEITH R HAUG MD

Original Issue Date

12/18/1997

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017