KILALI IBIERE IYALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155596

License Status

ACTIVE

Business

Title

First Name

KILALI

Middle

IBIERE

Last Name

IYALLA

Business Name

KILALI IBIERE IYALLA MD

Original Issue Date

02/10/2021

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/03/2023