JAY ANTHONY LIBOON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056587

License Status

CANCELLED

Business

First Name

JAY

Middle

ANTHONY

Last Name

LIBOON

Suffix

Business Name

JAY ANTHONY LIBOON DO

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/03/2009