WILLIAM SAMUEL JAMES GIBSON Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071926

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

SAMUEL JAMES

Last Name

GIBSON

Business Name

WILLIAM SAMUEL JAMES GIBSON

Original Issue Date

06/23/2021

Effective Date

06/23/2021

Expiration Date

06/22/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

03/09/2021