KIMBERLY ANN PAGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

KIMBERLY

Middle

ANN

Last Name

PAGE

Business Name

KIMBERLY ANN PAGE MD

Original Issue Date

08/23/2017

Effective Date

08/23/2017

Expiration Date

09/30/2020

City

ROCKTON

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021