KYLE JEFFREY HAZELWOOD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052518

License Status

EXPIRED

Business

Title

First Name

KYLE

Middle

JEFFREY

Last Name

HAZELWOOD

Business Name

KYLE JEFFREY HAZELWOOD MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

08/29/2012