KIMBERLY BETH WHITAKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

BETH

Last Name

WHITAKER

Suffix

Business Name

KIMBERLY BETH WHITAKER MD

Original Issue Date

04/27/2010

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

TUSCOLA

State

Zip

61953

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023