MARCELINA GUTIERREZ IBANEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033696

License Status

EXPIRED

Business

First Name

MARCELINA

Middle

GUTIERREZ

Last Name

IBANEZ

Suffix

Business Name

MARCELINA GUTIERREZ IBANEZ MD

Original Issue Date

06/29/1995

Effective Date

06/29/1995

Expiration Date

06/30/1998

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006