EMILY THERESE BOECKENSTEDT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

ACTIVE

Business

First Name

EMILY

Middle

THERESE

Last Name

BOECKENSTEDT

Business Name

EMILY THERESE BOECKENSTEDT

Original Issue Date

03/17/2022

Effective Date

01/17/2026

Expiration Date

03/01/2028

City

SAINT LOUIS

State

Zip

63116

County

MISSOURI

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/17/2026