PATRICK B GIBBONS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057692

License Status

CANCELLED

Business

Title

First Name

PATRICK

Middle

Last Name

GIBBONS

Business Name

PATRICK B GIBBONS DO

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/20/2013

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/26/2010