REID R KIMBALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

REID R

Last Name

KIMBALL

Suffix

Business Name

REID R KIMBALL MD

Original Issue Date

07/26/1991

Effective Date

07/26/1991

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006