BRUCE L HEDGEPETH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025249

License Status

EXPIRED

Business

Title

First Name

BRUCE

Middle

Last Name

HEDGEPETH

Business Name

BRUCE L HEDGEPETH MD

Original Issue Date

05/29/1990

Effective Date

05/29/1990

Expiration Date

06/30/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/06/2013