HENRY J KONZELMANN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

HENRY J

Last Name

KONZELMANN

Business Name

HENRY J KONZELMANN

Original Issue Date

07/07/1997

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

DE SOTO

State

Zip

63020

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023