STACY ANN HENIGSMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

STACY

Middle

ANN

Last Name

HENIGSMAN

Business Name

STACY ANN HENIGSMAN DO

Original Issue Date

10/20/2023

Effective Date

10/20/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10003

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/20/2023