DEXTER EMERSON HAZLEWOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

DEXTER

Middle

EMERSON

Last Name

HAZLEWOOD

Suffix

Business Name

DEXTER EMERSON HAZLEWOOD MD

Original Issue Date

05/06/2020

Effective Date

05/06/2020

Expiration Date

07/31/2023

City

DECATUR

State

Zip

62521

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023