CHRISS I MULUMBA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072984

License Status

CANCELLED

Business

Title

First Name

CHRISS

Middle

Last Name

MULUMBA

Business Name

CHRISS I MULUMBA MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/11/2018