CARLOS A IBANEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063117

License Status

NOT RENEWED

Business

First Name

CARLOS A

Last Name

IBANEZ

Suffix

Business Name

CARLOS A IBANEZ MD

Original Issue Date

09/10/1981

Effective Date

09/10/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006