KIMBERLY ANNE MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130864

License Status

NOT RENEWED

Business

Title

First Name

KIMBERLY

Middle

ANNE

Last Name

MARTIN

Business Name

KIMBERLY ANNE MARTIN MD

Original Issue Date

07/16/2012

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63117

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017