KIMBERLY LYNN SPENCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

KIMBERLY

Middle

LYNN

Last Name

SPENCE

Business Name

KIMBERLY LYNN SPENCE MD

Original Issue Date

05/21/2021

Effective Date

05/21/2021

Expiration Date

07/31/2023

City

EDWARDSVILLE

State

Zip

62025

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023