BIBIANCY GUTIERREZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

BIBIANCY

Last Name

GUTIERREZ

Business Name

BIBIANCY GUTIERREZ MD

Original Issue Date

06/03/2015

Effective Date

09/23/2023

Expiration Date

07/31/2026

City

FREEPORT IL

State

Zip

61032

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2023