BRADLEY N HAUGSTAD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087632

License Status

INACTIVE

Business

First Name

BRADLEY N

Last Name

HAUGSTAD

Suffix

Business Name

BRADLEY N HAUGSTAD MD

Original Issue Date

10/20/1993

Effective Date

10/20/1993

Expiration Date

07/31/1996

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006