FREDERICK PUGH HAYNES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042860

License Status

NOT RENEWED

Business

First Name

FREDERICK PUGH

Last Name

HAYNES

Suffix

Business Name

FREDERICK PUGH HAYNES MD

Original Issue Date

09/10/1969

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

CARMEL

State

Zip

46033

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023