DIBORO LETONU KANABOLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

DIBORO

Middle

LETONU

Last Name

KANABOLO

Business Name

DIBORO LETONU KANABOLO MD

Original Issue Date

02/11/2025

Effective Date

02/11/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2025