MARY KATHERINE SCOTT SIEBENALER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

KATHERINE SCOTT

Last Name

SIEBENALER

Business Name

MARY KATHERINE SCOTT SIEBENALER MD

Original Issue Date

12/27/2018

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023