SCOTT ROBERT BORKENHAGEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

SCOTT

Middle

ROBERT

Last Name

BORKENHAGEN

Business Name

SCOTT ROBERT BORKENHAGEN MD

Original Issue Date

04/29/2020

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023