PATRICK HENRY GIBBONS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062167

License Status

CANCELLED

Business

Title

First Name

PATRICK

Middle

HENRY

Last Name

GIBBONS

Business Name

PATRICK HENRY GIBBONS MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/31/2015