KAMILAH ONI DIXON-SHAMBLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144270

License Status

NOT RENEWED

Business

Title

First Name

KAMILAH

Middle

ONI

Last Name

DIXON-SHAMBLEY

Business Name

KAMILAH ONI DIXON-SHAMBLEY MD

Original Issue Date

09/05/2017

Effective Date

09/05/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021