KENNETH D PRIMM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088527

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

PRIMM

Suffix

Business Name

KENNETH D PRIMM MD

Original Issue Date

06/07/1994

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

07/24/2023

Case Number

2012004897

Action

Probation

Discipline Start Date

11/26/2012

Discipline End Date

12/18/2018

Discipline Reason

due to a sister-state discipline in Indiana.