BRUCE L HEDGEPETH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

BRUCE

Middle

Last Name

HEDGEPETH

Business Name

BRUCE L HEDGEPETH MD

Original Issue Date

11/24/1992

Effective Date

11/24/1992

Expiration Date

07/31/1996

City

OZARK

State

Zip

65721

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020