MARY L HAAKENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

HAAKENSON

Business Name

MARY L HAAKENSON

Original Issue Date

03/26/2001

Effective Date

03/26/2001

Expiration Date

03/01/2008

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2006