JOHN PAUL TIBBLE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065194

License Status

CANCELLED

Business

Title

First Name

JOHN

Middle

PAUL

Last Name

TIBBLE

Business Name

JOHN PAUL TIBBLE DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

06/01/2015