MOSES TABE AMBILICHU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162614

License Status

ACTIVE

Business

Title

First Name

MOSES

Last Name

TABE AMBILICHU

Business Name

MOSES TABE AMBILICHU MD

Original Issue Date

10/17/2022

Effective Date

02/15/2024

Expiration Date

07/31/2026

City

COLUMBIA

State

Zip

65205

County

BOONE

Ever Disciplined

LastModifiedDate

02/15/2024