THERESA KARICH HAYSSEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027692

License Status

EXPIRED

Business

First Name

THERESA

Middle

KARICH

Last Name

HAYSSEN

Business Name

THERESA KARICH HAYSSEN

Original Issue Date

04/21/1992

Effective Date

04/21/1992

Expiration Date

06/30/1997

City

GRAND RAPIDS

State

Zip

49503

County

MICHIGAN

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006