KEVIN J EMBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

Last Name

EMBACH

Business Name

KEVIN J EMBACH MD

Original Issue Date

11/24/2010

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

OMAHA

State

Zip

68178

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023