ADA ADHIAMBO KAGUMBA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

ADA

Middle

ADHIAMBO

Last Name

KAGUMBA

Suffix

Business Name

ADA ADHIAMBO KAGUMBA MD

Original Issue Date

05/20/2002

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023