JOHN M HATLELID MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092211

License Status

INACTIVE

Business

First Name

JOHN M

Last Name

HATLELID

Suffix

Business Name

JOHN M HATLELID MD

Original Issue Date

12/06/1995

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST LOUIS

State

Zip

63117

Ever Disciplined

LastModifiedDate

04/17/2008