SANDY Y GIBSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019893

License Status

EXPIRED

Business

First Name

SANDY Y

Last Name

GIBSON

Suffix

Business Name

SANDY Y GIBSON DO

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006