CHRISTEN AUGUSTUS TIBBS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054929

License Status

CANCELLED

Business

Title

First Name

CHRISTEN

Middle

AUGUSTUS

Last Name

TIBBS

Business Name

CHRISTEN AUGUSTUS TIBBS MD

Original Issue Date

06/22/2008

Effective Date

06/22/2008

Expiration Date

06/21/2011

City

HAZEL CREST

State

Zip

60429

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/21/2008