KATHY ANN KING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

KATHY

Middle

ANN

Last Name

KING

Business Name

KATHY ANN KING MD

Original Issue Date

08/26/2022

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

SUMMIT

State

Zip

53066

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023