MARY L HAAKENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000557

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

HAAKENSON

Business Name

MARY L HAAKENSON

Original Issue Date

10/06/1993

Effective Date

10/06/1993

Expiration Date

03/01/2008

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/23/2008