KIMBERLEY A HANNEKEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029293

License Status

EXPIRED

Business

First Name

KIMBERLEY

Middle

Last Name

HANNEKEN

Suffix

Business Name

KIMBERLEY A HANNEKEN MD

Original Issue Date

04/23/1993

Effective Date

04/23/1993

Expiration Date

06/30/1996

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/16/2013