KIMBALL SANDS FUIKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

KIMBALL

Middle

SANDS

Last Name

FUIKS

Business Name

KIMBALL SANDS FUIKS MD

Original Issue Date

06/30/2021

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

BROOKFIELD

State

Zip

53045

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023