MBAGA S WALUSIMBI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

MBAGA S

Last Name

WALUSIMBI

Suffix

Business Name

MBAGA S WALUSIMBI MD

Original Issue Date

09/07/1994

Effective Date

09/07/1994

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006