KEVIN DALE HAZARD MD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041290245

License Status

INACTIVE

Business

First Name

KEVIN

Middle

DALE

Last Name

HAZARD

Suffix

Business Name

KEVIN DALE HAZARD MD

Original Issue Date

08/04/1995

Effective Date

08/04/1995

Expiration Date

05/31/2002

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006