KIMBERLY ANN BIRCH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

BIRCH

Business Name

KIMBERLY ANN BIRCH

Original Issue Date

02/01/2006

Effective Date

07/07/2011

Expiration Date

07/31/2014

City

ELIZABETHTOWN

State

Zip

62931

County

HARDIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020