JENNA CHRISTINE GOECKNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

JENNA

Middle

CHRISTINE

Last Name

GOECKNER

Business Name

JENNA CHRISTINE GOECKNER MD

Original Issue Date

08/19/2022

Effective Date

08/19/2022

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62702

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023