MARK HOUSTON HOOFNAGLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

HOUSTON

Last Name

HOOFNAGLE

Business Name

MARK HOUSTON HOOFNAGLE MD

Original Issue Date

08/05/2019

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023