MICHAEL L BONEBRAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

Last Name

BONEBRAKE

Business Name

MICHAEL L BONEBRAKE MD

Original Issue Date

08/01/2013

Effective Date

12/05/2025

Expiration Date

07/31/2026

City

FENTON

State

Zip

63026

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025