MARK LEWIS PFAUTSCH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

LEWIS

Last Name

PFAUTSCH

Business Name

MARK LEWIS PFAUTSCH DO

Original Issue Date

08/17/2005

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023