GARY KENNETH HARGROVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

GARY

Middle

KENNETH

Last Name

HARGROVE

Suffix

Business Name

GARY KENNETH HARGROVE MD

Original Issue Date

05/19/2009

Effective Date

05/19/2009

Expiration Date

07/31/2011

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011