KEVIN DALE HAZARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116163

License Status

ACTIVE

Business

First Name

KEVIN

Middle

DALE

Last Name

HAZARD

Suffix

Business Name

KEVIN DALE HAZARD MD

Original Issue Date

06/08/2006

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/10/2023