ROBERT IVAN HACKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

IVAN

Last Name

HACKER

Business Name

ROBERT IVAN HACKER MD

Original Issue Date

11/08/2023

Effective Date

11/08/2023

Expiration Date

07/31/2026

City

LAKE SAINT LOUIS

State

Zip

63367

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2023