SHARON KWAMBOKA ONGUTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

SHARON

Middle

KWAMBOKA

Last Name

ONGUTI

Business Name

SHARON KWAMBOKA ONGUTI MD

Original Issue Date

07/24/2014

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021