ALISON GRACE EMBALABALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075897

License Status

EXPIRED

Business

Title

First Name

ALISON

Middle

GRACE

Last Name

EMBALABALA

Business Name

ALISON GRACE EMBALABALA MD

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

06/25/2025

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/03/2025