KENNETH O SCHOWENGERDT JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

SCHOWENGERDT

Suffix

Business Name

KENNETH O SCHOWENGERDT JR

Original Issue Date

05/01/2007

Effective Date

09/15/2020

Expiration Date

07/31/2023

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023