LYLE D PAHNKE 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

LYLE

Middle

Last Name

PAHNKE

Business Name

LYLE D PAHNKE MD

Original Issue Date

11/01/1994

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023