FERN R HAUCK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079337

License Status

INACTIVE

Business

First Name

FERN R

Last Name

HAUCK

Suffix

Business Name

FERN R HAUCK MD

Original Issue Date

08/18/1989

Effective Date

08/18/1989

Expiration Date

07/31/2002

City

CHARLOTTESVILLE

State

Zip

22908

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/09/2006