KEVIN DALE HAZARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

KEVIN

Middle

DALE

Last Name

HAZARD

Suffix

Business Name

KEVIN DALE HAZARD MD

Original Issue Date

07/10/2006

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023