KIMBERLY PENDLET MARSHALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

KIMBERLY PENDLET

Last Name

MARSHALL

Suffix

Business Name

KIMBERLY PENDLET MARSHALL MD

Original Issue Date

05/12/1995

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023