KENNETH D PRIMM MD Medical Doctor License verification

KENNETH D PRIMM MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

PRIMM

Suffix

Business Name

KENNETH D PRIMM MD

Original Issue Date

06/29/1994

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

FORSYTH

State

Zip

62535

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023

Case Number

2014004202

Action

Suspension

Discipline Start Date

05/08/2014

Discipline End Date

07/01/2016

Discipline Reason

for being more than thirty (30) days deliquent in the payment of child support.