RALPH ALEXANDER KIMBROUGH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

First Name

RALPH

Middle

ALEXANDER

Last Name

KIMBROUGH

Suffix

DMD

Business Name

RALPH ALEXANDER KIMBROUGH DMD

Original Issue Date

09/23/2009

Effective Date

07/18/2024

Expiration Date

09/30/2027

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2024