PAMELA A MBANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

PAMELA

Middle

Last Name

MBANG

Business Name

PAMELA A MBANG MD

Original Issue Date

01/14/2015

Effective Date

01/14/2015

Expiration Date

07/31/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017