EDDA HILDEGARD HACKL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

EDDA HILDEGARD

Last Name

HACKL

Suffix

Business Name

EDDA HILDEGARD HACKL MD

Original Issue Date

01/01/1997

Effective Date

09/15/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017