PATRICIA A PENKOSKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

PATRICIA

Middle

Last Name

PENKOSKE

Business Name

PATRICIA A PENKOSKE MD

Original Issue Date

12/12/2019

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63108

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023