THOMAS B STIBOLT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061096

License Status

NOT RENEWED

Business

First Name

THOMAS B

Last Name

STIBOLT JR

Suffix

Business Name

THOMAS B STIBOLT JR MD

Original Issue Date

10/20/1980

Effective Date

10/20/1980

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006