ALICE S HAUPT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095171

License Status

NOT RENEWED

Business

First Name

ALICE

Middle

Last Name

HAUPT

Suffix

Business Name

ALICE S HAUPT MD

Original Issue Date

03/28/1997

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

PLATTEVILLE

State

Zip

53818

Ever Disciplined

LastModifiedDate

11/17/2014