KIMBERLY HALL FERNANDEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

HALL

Last Name

FERNANDEZ

Business Name

KIMBERLY HALL FERNANDEZ

Original Issue Date

10/09/2025

Effective Date

10/09/2025

Expiration Date

07/31/2026

City

SAN DIEGO

State

Zip

92101

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2025