KATHLEEN HAWK SLOCOMB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

HAWK

Last Name

SLOCOMB

Suffix

Business Name

KATHLEEN HAWK SLOCOMB MD

Original Issue Date

06/20/2023

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023