EMILY LENCZOWSKI KONOPKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

EMILY

Middle

LENCZOWSKI

Last Name

KONOPKA

Business Name

EMILY LENCZOWSKI KONOPKA MD

Original Issue Date

06/28/2022

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023