The last abortion clinic in Missouri is set to lose its license at the end of May, which will make Missouri the first state in America without an abortion clinic. Planned Parenthood and its abortion providers are refusing to cooperate with state regulators.

On May 20, the Missouri Department of Health and Senior Services notified Planned Parenthood of three issues that could impact license renewal, according to documents reviewed by CBS News and provided by Planned Parenthood.

On May 22, Planned Parenthood said it would address two of them: adjusting who at the clinic provided the state-mandated counseling and adding an additional pelvic exam for abortion patients.

But it said a third request was out of its control. According to Planned Parenthood, the health department said it was investigating "deficient practices," and needed to interview seven physicians who provide care at the clinic. Planned Parenthood said it could offer interviews only with two who are its employees. The other five physicians working at the facility are residents in training and not employed by Planned Parenthood, a spokesperson for the clinic said via email on Tuesday. The state has indicated that the result of those interviews could be "board review" in addition to "criminal proceedings," the spokesperson said. The medical residents declined to be interviewed for the state's investigation.

In its letter, the Department of Health wrote that it could not "complete our investigation until it interviews the physicians involved in the care provided in the potential deficient practices," and that "the investigation needs to be completed and any deficiencies resolved before the expiration of [the clinic's] license on May 31, 2019."

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