AUGUSTINE KAZADI KABONGO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

AUGUSTINE

Middle

KAZADI

Last Name

KABONGO

Business Name

AUGUSTINE KAZADI KABONGO MD

Original Issue Date

04/21/2014

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023