JEFFREY WAYNE HIVELY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

WAYNE

Last Name

HIVELY

Business Name

JEFFREY WAYNE HIVELY MD

Original Issue Date

09/24/2019

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/15/2023