MARIE-JOSEE THIBAULT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

MARIE-JOSEE

Last Name

THIBAULT

Business Name

MARIE-JOSEE THIBAULT MD

Original Issue Date

08/23/2016

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

OAKLAND

State

Zip

94612

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

01/14/2021