CHAD ALLEN HARGROVE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064298

License Status

CANCELLED

Business

Title

First Name

CHAD

Middle

ALLEN

Last Name

HARGROVE

Business Name

CHAD ALLEN HARGROVE MD

Original Issue Date

09/20/2013

Effective Date

09/20/2013

Expiration Date

09/19/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014