License Directory

David Antoine NE Haily Md

Expired

Illinois license 036040980

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036040980
Status
Expired (Not Renewed)
First issued
May 25, 1967
Expired
July 1, 1972
License holder
David Antoine NE Haily Md
Entity type
Individual

Classifications

More from the license record

Current term began
05/25/1967

Contact

Mt. Vernon, IL 62864
Jefferson County