KIMBERLEY A HANNEKEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094217

License Status

ACTIVE

Business

First Name

KIMBERLEY

Middle

Last Name

HANNEKEN

Suffix

Business Name

KIMBERLEY A HANNEKEN MD

Original Issue Date

09/14/1996

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

UKIAH

State

Zip

95482

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/15/2023

Case Number

1996010517

Action

Probation

Discipline Start Date

09/11/1996

Discipline End Date

07/01/2002

Discipline Reason

License issued and placed on probation due to a history of depression.