ANGELO LOUIS CHIRBAN MD Medical Doctor License verification

ANGELO LOUIS CHIRBAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054809

License Status

NOT RENEWED

Business

First Name

ANGELO LOUIS

Last Name

CHIRBAN

Suffix

Business Name

ANGELO LOUIS CHIRBAN MD

Original Issue Date

06/30/1977

Effective Date

06/30/1977

Expiration Date

07/31/1999

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

07/24/2012

Case Number

2012004893

Action

Refuse To Renew

Discipline Start Date

07/24/2012

Discipline Reason

after his Arizona license to practice medicine was revoked due to his failure to maintain adequate medical records and for failure to respond to a request from the Arizona Medical Board.