RANDALL J KIMPLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

RANDALL

Middle

Last Name

KIMPLE

Business Name

RANDALL J KIMPLE MD

Original Issue Date

11/23/2011

Effective Date

11/23/2011

Expiration Date

07/31/2014

City

MADISON

State

Zip

53705

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020