STEPHEN R HAZELRIGG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018168

License Status

EXPIRED

Business

First Name

STEPHEN R

Last Name

HAZELRIGG

Suffix

Business Name

STEPHEN R HAZELRIGG MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006