GORDON R KIMBALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049810

License Status

NOT RENEWED

Business

First Name

GORDON R

Last Name

KIMBALL

Suffix

Business Name

GORDON R KIMBALL MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006