RUTENDO FAITH NKOMO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

RUTENDO

Middle

FAITH

Last Name

NKOMO

Business Name

RUTENDO FAITH NKOMO MD

Original Issue Date

08/03/2019

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023