JOSEPH S KIBUYAGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

JOSEPH S

Last Name

KIBUYAGA

Suffix

Business Name

JOSEPH S KIBUYAGA MD

Original Issue Date

12/13/1983

Effective Date

12/13/1983

Expiration Date

07/31/2002

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006