THEODORA KUMBASITTA KANJAMA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

THEODORA

Middle

KUMBASITTA

Last Name

KANJAMA

Business Name

THEODORA KUMBASITTA KANJAMA MD

Original Issue Date

06/20/2016

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60565

County

FLORIDA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023