LAUREN ELIZABETH HENKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

LAUREN

Middle

ELIZABETH

Last Name

HENKE

Business Name

LAUREN ELIZABETH HENKE MD

Original Issue Date

09/21/2020

Effective Date

09/21/2020

Expiration Date

07/31/2023

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023