JAY EZRA HAGGERTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

JAY

Middle

EZRA

Last Name

HAGGERTY

Business Name

JAY EZRA HAGGERTY MD

Original Issue Date

02/10/2022

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

INVERNESS

State

Zip

60067

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023