JARED GICHANA NYABUTI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061993

License Status

CANCELLED

Business

Title

First Name

JARED

Middle

GICHANA

Last Name

NYABUTI

Business Name

JARED GICHANA NYABUTI MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014