DONALD EDWARD GIBBONS III Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045647

License Status

EXPIRED

Business

First Name

DONALD

Middle

EDWARD

Last Name

GIBBONS

Suffix

III

Business Name

DONALD EDWARD GIBBONS III

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006