SIMON KABUTUTWA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158207

License Status

NOT RENEWED

Business

Title

First Name

SIMON

Last Name

KABUTUTWA

Business Name

SIMON KABUTUTWA MD

Original Issue Date

09/02/2021

Effective Date

09/02/2021

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61602

Ever Disciplined

LastModifiedDate

11/30/2023