DALE L HAGGMAN DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****93

NOT RENEWED

N

DALE L

HAGGMAN

DO

DALE L HAGGMAN DO

03/28/1985

03/28/1985

07/31/1987

ROCKFORD

IL

61103

WINNEBAGO

II III IV V

N

09/26/2006