KIMBERLY LASHUN MASSEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

KIMBERLY

Middle

LASHUN

Last Name

MASSEY

Business Name

KIMBERLY LASHUN MASSEY MD

Original Issue Date

03/30/2023

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023