KATHY ANN KING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160792

License Status

ACTIVE

Business

Title

First Name

KATHY

Middle

ANN

Last Name

KING

Business Name

KATHY ANN KING MD

Original Issue Date

06/07/2022

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

OCONOMOWOC

State

Zip

53066

Ever Disciplined

LastModifiedDate

07/25/2023