RONALD ERIC KIMBALL 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

RONALD

Middle

ERIC

Last Name

KIMBALL

Business Name

RONALD ERIC KIMBALL MD

Original Issue Date

08/26/2011

Effective Date

06/15/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023