ALEXANDER STEFAN LEGENBAUER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

ALEXANDER

Middle

STEFAN

Last Name

LEGENBAUER

Business Name

ALEXANDER STEFAN LEGENBAUER

Original Issue Date

07/03/2024

Effective Date

07/03/2024

Expiration Date

07/31/2026

City

HARRISBURG

State

Zip

62946

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2024