ANASTASIA MARIE DUFNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

ANASTASIA

Middle

MARIE

Last Name

DUFNER

Business Name

ANASTASIA MARIE DUFNER MD

Original Issue Date

07/22/2022

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023