GRACE CHABALA CHIBESAKUNDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050637

License Status

CANCELLED

Business

First Name

GRACE

Middle

CHABALA

Last Name

CHIBESAKUNDA

Suffix

Business Name

GRACE CHABALA CHIBESAKUNDA MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006