KENNETH DUANE HAWN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

DUANE

Last Name

HAWN

Business Name

KENNETH DUANE HAWN MD

Original Issue Date

04/18/2014

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

COLUMBIA

State

Zip

62236

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023