AUSTIN JOSEPH GIBBONS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041456

License Status

INACTIVE

Business

First Name

AUSTIN JOSEPH

Last Name

GIBBONS

Suffix

Business Name

AUSTIN JOSEPH GIBBONS MD

Original Issue Date

11/17/1967

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

04/07/2011