CARMEN LABATETE TIBAYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053635

License Status

NOT RENEWED

Business

First Name

CARMEN LABATETE

Last Name

TIBAYAN

Suffix

Business Name

CARMEN LABATETE TIBAYAN MD

Original Issue Date

09/17/1976

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017