Douglas Allen Hacker
Medical - Physician And Surgeon
Minnesota 23170 Inactive
This Minnesota license was held by Douglas Allen Hacker. The license is no longer active. It was granted on 02/25/1977 and expired on 09/30/2014
LICENSE DETAILS
- License Number: 23170
- Category: Physician and Surgeon
- Status: Inactive
- Date Granted: 02/25/1977 (about 48 years ago)
- Expiry Date: 09/30/2014 (over 10 years ago)
LOCATIONS
A Licensure Designated Address
1001 N Delaware Town Rd, Nixa, MO 65714