RAFE MARINA HENG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

RAFE

Middle

MARINA

Last Name

HENG

Suffix

Business Name

RAFE MARINA HENG DO

Original Issue Date

02/24/2005

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023