KEVIN L KONZEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

KEVIN L

Last Name

KONZEN

Suffix

Business Name

KEVIN L KONZEN MD

Original Issue Date

08/12/1987

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63110

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023