ROBERT L HAZELRIGG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

HAZELRIGG

Suffix

Business Name

ROBERT L HAZELRIGG MD

Original Issue Date

12/27/1996

Effective Date

12/27/1996

Expiration Date

07/31/2008

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020