ALICE TABISA NANYONGA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168264

License Status

ACTIVE

Business

Title

First Name

ALICE

Middle

TABISA

Last Name

NANYONGA

Business Name

ALICE TABISA NANYONGA MD

Original Issue Date

01/12/2024

Effective Date

01/12/2024

Expiration Date

07/31/2026

City

ELLICOTTVILLE

State

Zip

14731

Ever Disciplined

LastModifiedDate

06/04/2024