CAROL ANN HALLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042943

License Status

NOT RENEWED

Business

First Name

CAROL ANN

Last Name

HALLER

Suffix

Business Name

CAROL ANN HALLER MD

Original Issue Date

09/26/1969

Effective Date

09/26/1969

Expiration Date

07/31/1996

City

SANTA FE

State

Zip

87501

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006