GREGORY SCOTT DIBELIUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139436

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

SCOTT

Last Name

DIBELIUS

Business Name

GREGORY SCOTT DIBELIUS MD

Original Issue Date

12/02/2015

Effective Date

12/02/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017