KENNETH DUANE HAWN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

DUANE

Last Name

HAWN

Business Name

KENNETH DUANE HAWN MD

Original Issue Date

06/17/2014

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

COLUMBIA

State

Zip

62236

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021