STEVEN OLIVER IKENBERRY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

STEVEN OLIVER

Last Name

IKENBERRY

Suffix

Business Name

STEVEN OLIVER IKENBERRY MD

Original Issue Date

08/06/1996

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023