GAMILAH NIKIBA PIERRE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

GAMILAH

Middle

NIKIBA

Last Name

PIERRE

Suffix

Business Name

GAMILAH NIKIBA PIERRE MD

Original Issue Date

06/26/2002

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023