KIMBERLY A WALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095276

License Status

NOT RENEWED

Business

First Name

KIMBERLY A

Last Name

WALL

Suffix

Business Name

KIMBERLY A WALL MD

Original Issue Date

04/10/1997

Effective Date

04/10/1997

Expiration Date

07/31/1999

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006