DEEPTAZ K SIBIA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045460

License Status

EXPIRED

Business

First Name

DEEPTAZ

Middle

Last Name

SIBIA

Suffix

Business Name

DEEPTAZ K SIBIA DO

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

12/31/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006