JERRY JONATHAN GIBBONS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

JERRY JONATHAN

Last Name

GIBBONS

Business Name

JERRY JONATHAN GIBBONS

Original Issue Date

02/16/1999

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023