MICHAEL DAVID EISENHAUER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

DAVID

Last Name

EISENHAUER

Business Name

MICHAEL DAVID EISENHAUER

Original Issue Date

08/29/2025

Effective Date

08/29/2025

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/29/2025