MICHAEL BRIAN KIMBLE DMD - Dentist License in Missouri | # 31*****16

MICHAEL BRIAN KIMBLE DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

BRIAN

Last Name

KIMBLE

Suffix

DMD

Business Name

MICHAEL BRIAN KIMBLE DMD

Original Issue Date

04/01/1999

Effective Date

07/07/2015

Expiration Date

09/30/2018

State

MO

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/31/2018