JERRY JONATHAN GIBBONS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031700

License Status

EXPIRED

Business

First Name

JERRY JONATHAN

Last Name

GIBBONS

Business Name

JERRY JONATHAN GIBBONS

Original Issue Date

06/06/1994

Effective Date

06/06/1994

Expiration Date

06/19/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006