SANDRA KOKO KABAGAMBE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

SANDRA

Middle

KOKO

Last Name

KABAGAMBE

Business Name

SANDRA KOKO KABAGAMBE MD

Original Issue Date

03/06/2025

Effective Date

03/06/2025

Expiration Date

07/31/2026

City

CHARLOTTESVILLE

State

Zip

22903

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2025