HOLLY RAE HOEFGEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

HOLLY

Middle

RAE

Last Name

HOEFGEN

Business Name

HOLLY RAE HOEFGEN MD

Original Issue Date

11/20/2018

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023