KALLISTA FANOULA KAMBEROS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167538

License Status

ACTIVE

Business

Title

First Name

KALLISTA

Middle

FANOULA

Last Name

KAMBEROS

Business Name

KALLISTA FANOULA KAMBEROS DO

Original Issue Date

10/31/2023

Effective Date

10/31/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/06/2023