MAUDE N GIBBS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059723

License Status

EXPIRED

Business

Title

First Name

MAUDE

Middle

Last Name

GIBBS

Business Name

MAUDE N GIBBS MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

07/30/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/13/2015