AILEEN M GIBBONS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032913

License Status

CANCELLED

Business

First Name

AILEEN

Middle

Last Name

GIBBONS

Business Name

AILEEN M GIBBONS

Original Issue Date

06/01/1995

Effective Date

06/01/1995

Expiration Date

07/31/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006