CIRIACO CABEL MADAMBA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

CIRIACO CABEL

Last Name

MADAMBA

Suffix

Business Name

CIRIACO CABEL MADAMBA MD

Original Issue Date

11/01/1999

Effective Date

11/01/1999

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008