MICHAEL PETER SIBOL JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046376

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

PETER

Last Name

SIBOL

Suffix

JR MD

Business Name

MICHAEL PETER SIBOL JR MD

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

07/12/2007

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/03/2007