GARY KENNETH HARGROVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123453

License Status

NOT RENEWED

Business

First Name

GARY

Middle

KENNETH

Last Name

HARGROVE

Suffix

Business Name

GARY KENNETH HARGROVE MD

Original Issue Date

05/18/2009

Effective Date

05/18/2009

Expiration Date

07/31/2011

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/14/2011