KIMBERLY L MACDONALD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103509

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

MACDONALD

Business Name

KIMBERLY L MACDONALD

Original Issue Date

09/21/2000

Effective Date

09/21/2000

Expiration Date

07/31/2002

City

MANCHESTER

State

Zip

03104

Ever Disciplined

LastModifiedDate

11/05/2007