KAMILAH ONI DIXON-SHAMBLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

KAMILAH

Middle

ONI

Last Name

DIXON-SHAMBLEY

Business Name

KAMILAH ONI DIXON-SHAMBLEY MD

Original Issue Date

09/14/2017

Effective Date

09/14/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021