SARAH JEAN HALLBERG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141601

License Status

NOT RENEWED

Business

Title

First Name

SARAH

Middle

JEAN

Last Name

HALLBERG

Business Name

SARAH JEAN HALLBERG DO

Original Issue Date

08/29/2016

Effective Date

08/29/2016

Expiration Date

07/31/2017

City

WEST LAFAYETTE

State

Zip

47906

Ever Disciplined

LastModifiedDate

06/08/2018