KENNETH A HALLER JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073131

License Status

NOT RENEWED

Business

First Name

KENNETH A

Last Name

HALLER JR

Business Name

KENNETH A HALLER JR

Original Issue Date

07/11/1986

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

01/16/2009