KIM J HODGSON 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

KIM J

Last Name

HODGSON

Suffix

Business Name

KIM J HODGSON MD

Original Issue Date

07/23/1986

Effective Date

05/20/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023