GRACE CHABALA CHIBESAKUNDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

GRACE

Middle

CHABALA

Last Name

CHIBESAKUNDA

Suffix

Business Name

GRACE CHABALA CHIBESAKUNDA MD

Original Issue Date

11/06/2009

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023