JARED GICHANA NYABUTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

JARED

Middle

GICHANA

Last Name

NYABUTI

Business Name

JARED GICHANA NYABUTI MD

Original Issue Date

09/02/2014

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

DUBUQUE

State

Zip

52003

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021