KEVIN ROBERT RONNEBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

ROBERT

Last Name

RONNEBERG

Business Name

KEVIN ROBERT RONNEBERG MD

Original Issue Date

10/03/2012

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

ROSEVILLE

State

Zip

55113

County

MINNESOTA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017