KIMBALL EWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

KIMBALL

Last Name

EWELL

Suffix

Business Name

KIMBALL EWELL MD

Original Issue Date

01/01/1997

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

ELDORADO

State

Zip

62930

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023