KIMBERLY FRANCES SHOWALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

KIMBERLY

Middle

FRANCES

Last Name

SHOWALTER

Business Name

KIMBERLY FRANCES SHOWALTER MD

Original Issue Date

01/05/2017

Effective Date

01/05/2017

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017