KIMBERLY ANN BIRCH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

BIRCH

Business Name

KIMBERLY ANN BIRCH

Original Issue Date

01/05/2011

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

VIENNA

State

Zip

62995

County

JOHNSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023