MIKE H HACKMANN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

MIKE

Middle

Last Name

HACKMANN

Suffix

Business Name

MIKE H HACKMANN MD

Original Issue Date

11/02/1999

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023