KIMBALL EWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

KIMBALL

Last Name

EWELL

Suffix

Business Name

KIMBALL EWELL MD

Original Issue Date

08/01/2014

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

EQUALITY

State

Zip

62934

County

GALLATIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020